Antibiotics use, resistance and self-medication practices among healthcare workers in a federal teaching hospital in southwest, Nigeria
Journal Title: Journal of Public Health and Development - Year 2024, Vol 22, Issue 1
Abstract
Antimicrobial resistance is a major threat to global health, and inappropriate drug use, including antibiotic self-medication, has been identified as an important factor in developing countries. This study assessed the knowledge, and attitude of antibiotic use and antibiotics resistance, as well as the practice of self-medication among healthcare workers. This is a cross-sectional study conducted in a federal teaching hospital in Southwest, Nigeria among 320 healthcare workers selected through a two-stage sampling technique. A thirty-four-item self-administered semi-structured questionnaire adapted from the questionnaire on antibiotic resistance: multi-country public awareness survey by the WHO was used for data collection. Descriptive statistics, cross-tabulation and logistic regression were carried out using SPSS version 25.0. The mean ±SD age of the participants was 36.3 ±9.2years and over one-third (37.5%) of them had 6-10years of experience. About two-thirds (66.3%) of the participants had good knowledge about antibiotic use and resistance while only 39.4% had positive attitudes. The prevalence of self-medication with antibiotics was 30%. The identified positive predictors of antibiotics self-medication included having primary education (AOR:5.874, 95%CI:1.020-33.836) compared with tertiary education, poor knowledge (AOR:1.683, 95%CI:1.015-2.789) compared with good knowledge about antibiotic use and resistance as well as negative attitude (AOR:1.861, 95%CI:1.102-3.143) compared with a positive attitude towards antibiotic use and resistance. The level of knowledge and attitude in this study was suboptimal. Self-medication was linked with a lower level of education, poor knowledge, and a negative attitude. Therefore, we recommend the provision of appropriate health education to promote the rational use of antibiotics.
Authors and Affiliations
John Olujide Ojo, Tope Michael Ipinnimo, Blessing Omobolanle Osho, Oluwafemi Ipinnimo, Oluyemi Aduke Ogundun.
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