KNOWLEDGE, ATTITUDES AND PRACTICES OF HEALTH PROFESSIONALS TOWARDS ANTIBIOTIC USE IN PREGNANCY: A CROSS-SECTIONAL SURVEY
Main Article Content
Abstract
ABSTRACT
OBJECTIVES:
- To evaluate the knowledge, attitudes and practices of health professionals (HPs) towards the use of antibiotic in pregnancy.
- To compare the knowledge, attitudes and practices of HPs towards the use of antibiotic in pregnancy on the basis of their area of practice and qualification.
METHODS: This cross-sectional study was performed at district Faisalabad of Pakistan. Out of 250 HPs approached, 210 HPs responded and filled the questionnaire. Data after collection was divided and analyzed on the basis of three categories: (i) based on overall response of the HPs (ii) based on area of practice of the HPs (urban & rural) and (iii) based on qualification of the HPs (consultants, postgraduate trainees, general practitioners & paramedics).
RESULTS: HPs having sound knowledge regarding antibiotic use in pregnancy were 88% in urban and 58.5% in rural areas. Attitude was good in 83.5% urban and 67.8% of rural HPs. Practices of HPs were good in 71% of urban and 48.1% of rural areas. Results of the comparison based on the qualification of HPs were as follows; 99% consultants, 91.4% post graduate trainees, 87.6% general practitioners and 46.6% paramedics were good in knowledge; 94.2% consultants, 86.8% post graduate trainees, 87.9% general practitioners and 57.7% paramedics were found to be good in attitudes; 83.1% consultants, 71% post graduate trainees, 61% general practitioners and 29.6% paramedics were good in practices.
CONCLUSION: Health professionals practicing in urban areas and more qualified HPs (consultants) were much better in knowledge, attitudes and practices of prescribing antibiotics in pregnancy.
KEYWORDS: Pregnancy (MeSH); Antibiotic (MeSH); Knowledge (MeSH); Attitude (MeSH); Fetus (MeSH)
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References
REFERENCES
Zaki NM, Albarraq AA. Use, attitudes and knowledge of medications among pregnant women: A Saudi study. Saudi Pharm J 2014;22(5):419-28. DOI: 10.1016/j.jsps.2013.09.001
Anwar A, Faisal R, Mahmood A, Naz H, Sibtain SA, Shinwari L. Antibiotic use in infants: a cross-sectional survey assessing the knowledge, attitudes and practices of health professionals. Annals King Edward Med Univ 2017;23(2):371-75.
TobahYB. Pregnancy week by week. [Online]. [Cited on: February 03, 2017]. Available at URL: http://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/expert-answers/antibiotics-and-pregnancy/faq-20058542.
Marchiano D. 2012. Antibiotics: Which Drugs Could Harm Your Unborn Baby? [Online]. [Cited on: February 26, 2017]. Available at URL: http://www.healthline.com/health/pregnancy/antibiotics-infections-during#1
Centers for Disease Control and Prevention. Medications and Pregnancy. [Online]. [Cited on: March 05, 2017]. Available at URL: https://www.cdc.gov/pregnancy/meds/index.html
Crider KS, Cleves MA, Reefhuis J, Berry RJ, Hobbs CA, Hu DJ. Antibacterial medication use during pregnancy and risk of birth defects: National Birth Defects Prevention Study. Arch Pediatr Adolesc Med 2009;163(11):978-85. DOI: 10.1001/archpediatrics.2009.188.
Anonymous. Common antibiotics tied to birth defects. [Online]. [Cited on: March 09, 2017]. Available at URL: http://www.nbcnews.com/id/33588427/ns/health-pregnancy/t/common-antibiotics-tied-birth-defects/#.WKfs8TjKLcs.
Newbern D, Freemark M. Placental hormones and the control of maternal metabolism and fetal growth. Curr Opin Endocrinol Diabetes Obes2011;18(6):409–16. DOI: 10.1097/MED.0b013e32834c800d.
Bookstaver PB, Bland CM, Griffin B, Stover KR, Eiland LS, McLaughlin M. A review of antibiotic use in pregnancy. Pharmacotherapy. 2015;35(11):1052–62. DOI: 10.1002/phar.1649
Roberts DJ, Celi AC, Riley LE, Onderdonk AB, Boyd TK, Johnson LC et al. Acute histologic chorioamnionitis at term: nearly always noninfectious. PLoS One. 2012;7(3): e31819. DOI: 10.1371/journal.pone.0031819.
Kenyon SL, Taylor DJ, Tarnow-Mordi W, ORACLE Collaborative Group. Broad-spectrum antibiotics for preterm, prelabour rupture of fetal membranes: the ORACLE I randomised trial. ORACLE Collaborative Group. Lancet. 2001;357(9261):979–88.
Ahmad J, Shah A, Ali NS. Prevalence of Urinary tract infection in pregnant women of Peshawar NWFP: A single center study. J Postgrad Med Inst 2003;17(2):343-52.
Gul F, Faiz NR, Raziq F, Malik L, Sherin A, Kazi BM, et al. Frequency of vaginal discharge and its association with various sexually transmitted diseases in women attending antenatal clinic. J Postgrad Med Inst 2005;19(1):86-91.
Islam A, Safdar A, Malik A. Bacterial Vaginosis. J Pak Med Assoc. 2009;59(9):601-4.
Abidullah, Kamal Z, Ullah G, Hussain H. To determine the rational use of antibiotics; A case study conducted at medical unit of Hayatabad Medical Complex, Peshawar. Int J Res App Nat Soc Sci (IJRANSS) 2013;1(2):61-8.
Faisal R, Anwar A, Sibtain SA. Chronic kidney and liver disease; assessment of prescribers’ knowledge regarding antibiotic prescription. Professional Med J 2017;24(5):781-6. DOI: 10.17957/TPMJ/17.3874.
Rebuelto M, Loza ME. Antibiotic Treatment of Dogs and Cats during Pregnancy. Vet Med Int. 2010 Dec 14; 2010:385640. doi: 10.4061/2010/385640.