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Article

Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia

1
Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia (National Defence University of Malaysia), Kem Perdana Sungai Besi, Kuala Lumpur 57000, Malaysia
2
Department of Basic Health, Kulliyyah of Allied Health Sciences, International Islamic University Malaysia, Jalan Sultan Ahmad Shah, Bandar Indera Mahkota, Kuantan 25200, Malaysia
3
School of Medicine, Swansea University, Swansea, Wales SA2 8PP, UK
4
Department of Surgery, Macerata Hospital, University of Macerata, Via Giovanni Mario Crescimbeni, 28, 62100 Macerata MC, Italy
5
Eastern Medical College, Comilla, Kabila, Dhaka-Chittagong Highway, Burichang 3520, Bangladesh
*
Author to whom correspondence should be addressed.
Received: 12 August 2019 / Revised: 13 September 2019 / Accepted: 15 September 2019 / Published: 19 September 2019
(This article belongs to the Section Antibiotics Use and Antimicrobial Stewardship)
Background: Antimicrobial prescribing behaviors are often influenced by the local culture and prescribing appropriateness of medical doctors and other health care professionals. Globally, antimicrobial utilization practices have a profound impact on antimicrobial resistance and are a tremendous public health concern. The aim of this survey was to explore the knowledge and attitudes of medical students from the National Defence University of Malaysia regarding antimicrobial usage and antimicrobial resistance. Research design and methods: This was a cross-sectional study. The study population consisted of undergraduate medical students in each year group from the National Defence University of Malaysia. Students receive limited formal training on the use of antibiotics in their curriculum, and most of this learning is opportunistic whilst on clinical placement. Universal sampling was used as the study population was small. Data were collected utilizing a previously validated instrument regarding antibiotic use. Simple descriptive statistics were used to generate frequencies and percentages with SPSS V21. This research was approved by the Centre for Research and Innovation Management, National Defence University of Malaysia. Results: 206 questionnaires were distributed with a response rate of 99.03%, 54% (110) male, and 46% (94) female. Out of the respondents, 65% (132) had used antibiotics in the last year. Respondents displayed a moderate level of knowledge about antibiotics. Conclusions: This study revealed that the older the student was, or when the year of study and total knowledge score was higher, the students were less likely to stop antimicrobials when they felt better or use leftover antibiotics without consulting a doctor. Therefore, the nearer the students were to graduation, the better their knowledge and skills were, and this translated into their own behaviors regarding use of antimicrobials. This finding has clear implications for curriculum design and the inclusion of formal teaching throughout the medical program on antimicrobial use and antimicrobial resistance (AMR). However, more research is needed on this topic, including the prescribing habits and antibiotic use of practicing doctors. View Full-Text
Keywords: antimicrobial; antibiotic; use; knowledge; attitude; practice; medical students; Malaysia; antimicrobial resistance; antibiotic resistance antimicrobial; antibiotic; use; knowledge; attitude; practice; medical students; Malaysia; antimicrobial resistance; antibiotic resistance
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MDPI and ACS Style

Haque, M.; Rahman, N.A.A.; McKimm, J.; Sartelli, M.; Kibria, G.M.; Islam, M.Z.; Binti Lutfi, S.N.N.; Binti Othman, N.S.A.; Binti Abdullah, S.L. Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia. Antibiotics 2019, 8, 154. https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics8030154

AMA Style

Haque M, Rahman NAA, McKimm J, Sartelli M, Kibria GM, Islam MZ, Binti Lutfi SNN, Binti Othman NSA, Binti Abdullah SL. Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia. Antibiotics. 2019; 8(3):154. https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics8030154

Chicago/Turabian Style

Haque, Mainul; Rahman, Nor A.A.; McKimm, Judy; Sartelli, Massimo; Kibria, Golam M.; Islam, Md Z.; Binti Lutfi, Siti N.N.; Binti Othman, Nur S.A.; Binti Abdullah, Shahidah L. 2019. "Antibiotic Use: A Cross-Sectional Study Evaluating the Understanding, Usage and Perspectives of Medical Students and Pathfinders of a Public Defence University in Malaysia" Antibiotics 8, no. 3: 154. https://0-doi-org.brum.beds.ac.uk/10.3390/antibiotics8030154

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