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44th Research Society Conference, 2018

A Survey On The Knowledge, Attitude, And Practices About Antibiotic


Usage And Resistance Among Homeopathic General Practitioners
Aims and Objectives : Materials and Methods-
• To assess the knowledge, attitude and practices of Questionnaire- based study. Sample size- 75.
Cross- sectional, Observational.
Homeopathic general practitioners about antibiotic Carried out for 3 months.
usage and resistance. Inclusion Criteria
Results: Homeopathy GPs enrolled in CCMP course
Mean age of GPs was 55.1 ± 6.18 years with (MUHS).
experience of clinical practice since 29.3 ± 6.34 years. GPs giving informed consent.
1. Knowledge Questionnaires (n=75)
Exclusion Criteria
GPs not willing to give informed consent.
Yes No U
Do you prescribe antibiotics? 99% 1% 0
Do you think you have enough sources of Statistical analysis: All detailed data entered in
information about antibiotics when you 61% 38% 0 MS Excel sheet 2010. Results calculated by using
need it appropriate descriptive statistics.
Do you know antibiotic culture sensitivity 3. Practice Questionnaires (n=75)
93% 7% 0
(C/S) test?
Someti
If yes, do you send the sample of body Yes No mes
61% 13% 25%
fluids for C/S test?
After taking 2–3 doses if patient starts feeling
Do you prescribe antibiotic after doing
47% 11% 43% better then he should stop taking the further 17% 80% 3%
culture sensitivity test treatment?
Do you prefer prescribing low cost generic
68% 8% 24% Do you check the rationality before starting
drug over branded drugs? 88% 3% 9%
an antibiotic
While prescribing topical antibiotics do you
Do you ask patients to check the expiry date
tell patient to clean hands before and after 87% 5% 8% 95% 1% 4%
of the antibiotic before using it
application at site?
Prescribing antibiotic when patients have
Do you of the opinion that antibiotic should 25% 32% 43%
cough and sore throat
be stopped if patient develops mild 29% 71% 0
Is it necessary to carry out large scale
gastrointestinal side effect?
antibiotics campaign promotion to create 67% 17% 16%
Antimicrobial resistance means that if they
awareness among the population & HCP
are taken too often, antimicrobials are less 79% 11% 11%
How commonly do you use Fixed Dose
likely to work in the future? 28% 10% 62%
Combinations antibiotics
Bacteria cause common cold and influenza 5% 83% 12% Do you prescribe Chloramphenicol eye drop
Do you think that ineffective treatment 19% 48% 33%
for patient of mild conjunctivitis
with growing problem of resistance can Do you read, follow and tell or counsel
95% 1% 4%
occur due to indiscriminate and injudicious patients to obey instructions mentioned in 62% 12% 26
antimicrobial use package insert/ Patient information leaflet
Reasons of Antibiotic Resistance by GPs Solutions to Antibiotic Resistance
2. Attitude Questionnaires (n=75) 14
18
17

12
12 16

Agree Disagree Neutral 11


14
10
12

Antibiotics are overused in India 91% 3% 6% 8


8
10
10
9

Difficulty in to select the correct 6


8

47% 24% 29% 5


6
antibiotic 4
4
3 3

Prescribing antimicrobial doesn’t cause 2


32% 64% 4% 2

damage when patients don’t need them 1 1


0
Only when Prescription Awareness Judicious Education
0
Indiscriminate Counter Irrational drug Incomplete Self Patient indicated only by use to patients
Prescribe antibiotics to prevent getting a use of
antibiotics
practice of
pharmacies
use course medication noncompliance RMP

more serious illness, when patients have 5% 83% 12%


Conclusion-
a cold  Most of the HCPs were aware of rising issue antibiotic resistance
When patients get fever, antibiotics help  Educational intervention can be introduced to bring about
31% 63% 6% behaviour changes regarding rational antibiotics prescribing
them to get better more quickly
 Government should take initiative against overt antibiotic
Skipping one or two doses does not promotional advertisements and to curb over the counter(OTC) sell
contribute to the development of 44% 50% 6% of antibiotics.
antibiotic resistance
References-
1) Kumar SG, Adithan C, Harish BN, Sujatha S, Roy G, Malini A. Antimicrobial resistance in India: a review. J Nat Sci Biol Med. 2013;4:286-9.
2) World Health Day 2011-Antibiotic resistance: No action today, no cure tomorrow. Available from
[http://www.who.int/mediacentre/news/statements/2011/whd_20110407/en/index.html] [Cited 4 Dec 2017]
3) Simpson SA, Wood F, Butler CC. General practitioners‟ perceptions of antimicrobial resistance: a qualitative study. Journal of Antimicrobial Chemotherapy. 2007; 59: 292–96.

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