Factors influencing inappropriate use of antibiotics: Findings from a nationwide survey of the general public in Malaysia.

Antibiotic resistance is one of the biggest threats to global public health. Misuse of antibiotics has never been investigated on a nationwide scale among the general public in Malaysia. This study aimed to identify sociodemographic and knowledge factors associated with inappropriate use of antibiot...

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Autores principales:	Li Ping Wong, Haridah Alias, Suraya Amir Husin, Zawaniah Brukan Ali, Benedict Sim, Sasheela Sri La Sri Ponnampalavanar
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/51440ecf7d1d4199a66d6f8b5b1e10c0
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spelling	oai:doaj.org-article:51440ecf7d1d4199a66d6f8b5b1e10c02021-12-02T20:16:44ZFactors influencing inappropriate use of antibiotics: Findings from a nationwide survey of the general public in Malaysia.1932-620310.1371/journal.pone.0258698https://doaj.org/article/51440ecf7d1d4199a66d6f8b5b1e10c02021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0258698https://doaj.org/toc/1932-6203Antibiotic resistance is one of the biggest threats to global public health. Misuse of antibiotics has never been investigated on a nationwide scale among the general public in Malaysia. This study aimed to identify sociodemographic and knowledge factors associated with inappropriate use of antibiotics in the Malaysian context to inform the development of interventions to mitigate inappropriate antibiotic use. We conducted computer-assisted telephone interviews (CATI) between June 2019 and December 2019. The telephone numbers were randomly generated from the electronic residential telephone directory of all 13 states and 3 Federal Territories in Malaysia. The survey consisted of questions on demographics, knowledge about antibiotics and antibiotic resistance (53 items), and practices of antibiotic use (16 questions). A total of 864 complete responses were received. Pronounced erroneous beliefs that antibiotics are effective against infections caused by viruses and that antibiotics can speed up recovery from coughs and colds were evident. The proportions that were aware of the terms 'drug resistance', 'antimicrobial resistance', and 'superbugs' were low. The mean and standard deviation (SD) for the antibiotic knowledge score was 23.7 (SD ±9.25; range 0 to 50) out of a possible score of 52. Regarding antibiotic practices, a considerable proportion reported non-adherence to recommended doses. The mean and SD for the antibiotic practices score was 37.9 (SD ± 6.5; range 17 to 47) out of a possible score of 48. Participants who earned an average monthly household income of MYR1001-3000 (OR 1.61, 95% CI 1.04-2.50) were more likely to report higher antibiotic practice scores than those with <MYR1000. Participants with tertiary education attainment reported higher antibiotic practice scores (OR 1.99; 95%CI 1.02-3.91) than those with primary school and below. High antibiotic knowledge scores (OR 3.94; 95% CI 2.71-5.73) were associated with higher antibiotic practice scores. Inappropriate antibiotic use is influenced by demographics and antibiotic knowledge. This study calls for education interventions focused on the lower socio-economic status population to increase awareness and to promote appropriate antibiotic use.Li Ping WongHaridah AliasSuraya Amir HusinZawaniah Brukan AliBenedict SimSasheela Sri La Sri PonnampalavanarPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10, p e0258698 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Li Ping Wong Haridah Alias Suraya Amir Husin Zawaniah Brukan Ali Benedict Sim Sasheela Sri La Sri Ponnampalavanar Factors influencing inappropriate use of antibiotics: Findings from a nationwide survey of the general public in Malaysia.
description	Antibiotic resistance is one of the biggest threats to global public health. Misuse of antibiotics has never been investigated on a nationwide scale among the general public in Malaysia. This study aimed to identify sociodemographic and knowledge factors associated with inappropriate use of antibiotics in the Malaysian context to inform the development of interventions to mitigate inappropriate antibiotic use. We conducted computer-assisted telephone interviews (CATI) between June 2019 and December 2019. The telephone numbers were randomly generated from the electronic residential telephone directory of all 13 states and 3 Federal Territories in Malaysia. The survey consisted of questions on demographics, knowledge about antibiotics and antibiotic resistance (53 items), and practices of antibiotic use (16 questions). A total of 864 complete responses were received. Pronounced erroneous beliefs that antibiotics are effective against infections caused by viruses and that antibiotics can speed up recovery from coughs and colds were evident. The proportions that were aware of the terms 'drug resistance', 'antimicrobial resistance', and 'superbugs' were low. The mean and standard deviation (SD) for the antibiotic knowledge score was 23.7 (SD ±9.25; range 0 to 50) out of a possible score of 52. Regarding antibiotic practices, a considerable proportion reported non-adherence to recommended doses. The mean and SD for the antibiotic practices score was 37.9 (SD ± 6.5; range 17 to 47) out of a possible score of 48. Participants who earned an average monthly household income of MYR1001-3000 (OR 1.61, 95% CI 1.04-2.50) were more likely to report higher antibiotic practice scores than those with <MYR1000. Participants with tertiary education attainment reported higher antibiotic practice scores (OR 1.99; 95%CI 1.02-3.91) than those with primary school and below. High antibiotic knowledge scores (OR 3.94; 95% CI 2.71-5.73) were associated with higher antibiotic practice scores. Inappropriate antibiotic use is influenced by demographics and antibiotic knowledge. This study calls for education interventions focused on the lower socio-economic status population to increase awareness and to promote appropriate antibiotic use.
format	article
author	Li Ping Wong Haridah Alias Suraya Amir Husin Zawaniah Brukan Ali Benedict Sim Sasheela Sri La Sri Ponnampalavanar
author_facet	Li Ping Wong Haridah Alias Suraya Amir Husin Zawaniah Brukan Ali Benedict Sim Sasheela Sri La Sri Ponnampalavanar
author_sort	Li Ping Wong
title	Factors influencing inappropriate use of antibiotics: Findings from a nationwide survey of the general public in Malaysia.
title_short	Factors influencing inappropriate use of antibiotics: Findings from a nationwide survey of the general public in Malaysia.
title_full	Factors influencing inappropriate use of antibiotics: Findings from a nationwide survey of the general public in Malaysia.
title_fullStr	Factors influencing inappropriate use of antibiotics: Findings from a nationwide survey of the general public in Malaysia.
title_full_unstemmed	Factors influencing inappropriate use of antibiotics: Findings from a nationwide survey of the general public in Malaysia.
title_sort	factors influencing inappropriate use of antibiotics: findings from a nationwide survey of the general public in malaysia.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/51440ecf7d1d4199a66d6f8b5b1e10c0
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Factors influencing inappropriate use of antibiotics: Findings from a nationwide survey of the general public in Malaysia.

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