Awareness of Antibiotic Usage and Antibiotic Resistance: A Case Study in Selangor, Malaysia

Main Article Content

Nur Aisyah Zailani
Nur Faizah Abu Bakar
Siti Shahara Zulfakar

Abstract

Introduction: Adequate knowledge of antibiotics usage among users is one of the key factors preventing the spread of antibiotic-resistant strains’ infections. This study is conducted to determine the level of awareness on antibiotic usage and antibiotic resistance among the residents in Selangor, Malaysia. Methods: This study is a cross-sectional, questionnaire-based study that consisted of three parts: socio-demographic profile, antibiotic use awareness, and antibiotic resistance awareness. The questionnaire was distributed online using the snowball sampling method from January to March 2021. Results: A total of 239 respondents have participated in this study. The majority of the respondents involved were among the Malay youth residents in Selangor. Results showed that most residents in Se- langor (65%) misunderstand that antibiotics can treat cold and flu. More than 44% of respondents also thought that antibiotic resistance could only occur to individuals who frequently take antibiotics and could not be spread to other people. Findings also showed associations (p<0.05) between the level of awareness on antibiotic resistance and the respondents’ socio-demographic profile (education level, household income and settlement category). A significant positive correlation was also observed between the level of awareness of antibiotic use and antibiotic resistance (r=0.42, p<0.05). Conclusion: In conclusion, the Selangor respondents’ antibiotic usage and antibiotic resistance level of awareness are moderate to high. However, there is still a need to increase awareness of antibiotic resistance and correct the misunderstandings among the public to help curb the antibiotic resistance issue from rapidly increas- ing in the future.

Downloads

Download data is not yet available.

Article Details

How to Cite
Zailani, N. A., Abu Bakar, N. F., & Zulfakar, S. S. (2022). Awareness of Antibiotic Usage and Antibiotic Resistance: A Case Study in Selangor, Malaysia. Malaysian Journal of Medicine and Health Sciences, 18(3). Retrieved from http://mjmhsojs.upm.edu.my/index.php/mjmhs/article/view/79
Section
Original Articles

References

Sabtu N, Enoch DA, Brown NM. Antibiotic resistance: What, why, where, when and how? British Medical Bulletin. 2015;116:105-113.

Chellat MF, Raguž L, Riedl R. Targeting Antibiotic Resistance. Angewandte Chemie International Edition. 2016;55(23): 6600–6626.

World Health Organization. WHO publishes list of bacteria for which new antibiotics are urgently needed [Internet]. Geneva: WHO; 2017 [updated 2017 February 27; cited 2021 April 1]. Available from: https://www.who.int/news/item/27-02-2017-who-publishes-list-of-bacteria-for-which-new-antibiotics-are-urgently-needed

World Health Organization. Antibiotic Resistance [Internet]. Geneva: WHO; 2020 [updated 2020

July 31; cited 2021 April 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/antibiotic-resistance

Centers for Disease Control and Prevention. Antibiotic/Antimicrobial Resistance [Internet]. Atlanta: CDC; 2020 [updated 2020 July 20; cited 2021 April 1]. Available from: https://www.cdc.gov/drugresistance/index.html

Klein EY, Van Boeckel TP, Martinez EM, Pant S, Gandra S, Levin SA, et al. Global increase and geographic convergence in antibiotic consumption between 2000 and 2015. Proceedings of the National Academy of Sciences. 2018;115(15): 3463-3470.

Van Boeckel TP, Gandra S, Ashok A, Caudron Q, Grenfell BT, Levin SA, et al. Global antibiotic consumption 2000 to 2010: An analysis of national pharmaceutical sales data. The Lancet Infectious Diseases. 2014;14(8): 742-750.

Medical Research Institute. National Antibiotic Resistance Surveillance Report 2019. Kuala Lumpur, Malaysia: Medical Research Institute; 2019.

Frieri M, Kumar K, Boutin A. Antibiotic resistance. Journal of Infection and Public Health. 2017;10(4): 369–378.

Ministry of Health. Protocol on antimicrobial stewardship program In healthcare facilities. Putrajaya: Ministry of Health, Malaysia; 2014.

Ministry of Health. National Medical Care Statistics: Primary Care 2014. Kuala Lumpur: National Healthcare Statistics Initiative; 2016.

Ministry of Health. National Antibiotic Guideline. 3rd ed. Selangor: Ministry of Health Malaysia; 2019.

Ministry of Health. Malaysian Action Plan on Antimicrobial Resistance (MyAP-AMR) 2017– 2021. Putrajaya: Ministry of Health, Malaysia; 2017.

World Health Organization. Antibiotic Resistance: Multi-country Public Awareness Survey. Switzerland: World Health Organization; 2015.

Oh AL, Hassali, MS, Syed Sulaiman SA, Awaisu A. Public knowledge and attitudes towards antibiotic usage: a cross-sectional study among the general public in the state of Penang, Malaysia. Journal of Infection in Developing Countries. 2011;5(5): 338-

Fatokun O. Exploring antibiotic use and practices in a Malaysian community. International Journal of Clinical Pharmacy. 2014;36: 564–569.

Hassali MA, Arief M, Saleem F, Khan MU, Ahmad A, Mariam W, et al. Assessment of attitudes and practices of young Malaysian adults about antibiotics use: a cross-sectional study. Pharmacy Practice. 2017;15(2): 929.

Lim KK, Teh CC. A cross sectional study of public knowledge and attitude towards antibiotics in Putrajaya, Malaysia. Southern Med Review. 2012;5(2):26-33.

Qamar M, Abdullah NS, Khan J, Mahmud A, Ahmad A. Knowledge and attitude towards antibiotic usage among general public in Shah Alam, Malaysia. UK Journal of Pharmaceutical and Biosciences. 2014;2(6): 60-66.

Department of Statistics Malaysia. Demographic statistics by state, first quarter 2021.Infographic [Internet]. Malaysia: Department of Statistics Malaysia; 2020 [updated 2021 July 23; cited 2021 Aug 1]. Available from: https://www.mycensus.gov.my/images/SimpleImage/infographic/ publicationInfographic_bm/am_6_bm.jpg

Cochran WG. Sampling Techniques. 3rd ed. New York: John Wiley & Sons; 1977.

Field A. Discovering statistics using IBM SPP statistics. 5th ed. United Kingdom: Sage; 2018. 29 p.

World Health Organization. Antimicrobial resistance: Does stopping a course of antibiotics early lead to antibiotic resistance? [Internet]. Geneva: WHO; 2020 [updated 2020 January

; cited 2021 January 20]. Available from: https://www.who.int/news-room/q-a-detail/antimicrobial-resistance-does-stopping-a-course- of-antibiotics-early-lead-to-antibiotic-resistance

Thong KS, Chang CT, Lee M, Lee JCY, Tan HS, Akmal A. Impact of targeted educational intervention towards public knowledge and perception of antibiotic use and resistance in the state of Perak, Malaysia. Antimicrob Resist Infect Control. 2021;10(29).

Leekha S, Terrel CL, Edson RS. General principles of antimicrobial therapy. Mayo Clin Proc. 2011;86(2):156-167.

Ministry of Education Malaysia. Dokumen Standard Kurikulum dan Pentaksiran: Sains Tingkatan 4 dan 5. Kurikulum Standard Sekolah Menengah. Putrajaya: Ministry of Education, Malaysia; 2018.

Centers for Disease Control and Prevention. Protect Yourself and Your Family [Internet]. Atlanta: CDC; 2020 [updated 2020 Feb 12; cited 2021 March 20]. Available from: https://www.cdc.gov/drugresistance/protecting_yourself_family.html

Burki TK. Tackling antimicrobial resistance in food-producing animals. The Lancet Respiratory Medicine: Spotlight. 2018;6(2): 93-94.

Ha TV, Nguyen AMT, Nguyen HST. Public Awareness about Antibiotic Use and Resistance among Residents in Highland Areas of Vietnam. BioMed Research International, 2019: 9398536.

Khullar D, Chokshi DA. Health Income, & Poverty: Where we are & what could help. [Internet]. New York: Health Affairs; 2018 [updated 2018 Oct 4; cited 2021 Jan 19]. Available from: https://www.healthaffairs.org/do/10.1377/hpb20180817.901935/full/

Yuan F, Qian D, Huang C, Tian M, Xiang Y, He Z, et al. Analysis of awareness of health knowledge among rural residents in Western China. BMC Public Health. 2015;15:55.

Neni WS, Subrain G, Shamshir Khan MSN, Martinez KP, Auamnoy T. Awareness, knowledge, and attitude (AKA) of government secondary school students on the use of antibiotics in Shah Alam, Malaysia. J Public Health (Berl.) 2020;28:347-355.

Parker C, Scott S, Geddes A. Snowball sampling. 1st ed. London: SAGE Publications Ltd; 2019.