Knowledge, attitudes, and practices related to antibiotic use in Paschim Bardhaman District: A survey of healthcare providers in West Bengal, India

Antibiotic misuse is widespread and contributes to antibiotic resistance, especially in less regulated health systems such as India. Although informal providers are involved with substantial segments of primary healthcare, their level of knowledge, attitudes, and practices is not well documented in...

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Bibliographic Details
Published in:PloS one 2019-05, Vol.14 (5), p.e0217818-e0217818
Main Authors: Nair, Mohit, Tripathi, Santanu, Mazumdar, Sumit, Mahajan, Raman, Harshana, Amit, Pereira, Alan, Jimenez, Carolina, Halder, Debasish, Burza, Sakib
Format: Article
Language:English
Subjects:
Adult
Anti-Bacterial Agents - adverse effects
Anti-Bacterial Agents - therapeutic use
Antibiotic resistance
Antibiotics
Antimicrobial agents
Attitudes
Biology and Life Sciences
Continuity (mathematics)
Drug Misuse - prevention & control
Drug Misuse - psychology
Drug resistance
Drug Resistance, Microbial
Female
Health care
Health Knowledge, Attitudes, Practice
Health Personnel - psychology
Humans
India - epidemiology
Infections
Internet
Knowledge
Licenses
Male
Medical personnel
Medicine
Medicine and Health Sciences
Middle Aged
Nurses
Nurses - psychology
People and Places
Pharmaceutical industry
Pharmaceuticals
Pharmacists
Pharmacists - psychology
Physicians
Physicians - psychology
Quantitative research
Questionnaires
Regression analysis
Research and Analysis Methods
Sample size
Students
Surveys and Questionnaires
Viral infections
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Summary:Antibiotic misuse is widespread and contributes to antibiotic resistance, especially in less regulated health systems such as India. Although informal providers are involved with substantial segments of primary healthcare, their level of knowledge, attitudes, and practices is not well documented in the literature. This quantitative study systematically examines the knowledge, attitudes, and practices of informal and formal providers with respect to antibiotic use. We surveyed a convenience sample of 384 participants (96 allopathic doctors, 96 nurses, 96 informal providers, and 96 pharmacy shopkeepers) over a period of 8 weeks from December to February using a validated questionnaire developed in Italy. Our team created an equivalent, composite KAP score for each respondent in the survey, which was subsequently compared between providers. We then performed a multivariate logistic regression analysis to estimate the odds of having a low composite score (
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0217818