A Comparative Study about Knowledge, Attitude, Practice of Antibiotic Use and Perceptions of the Possible Causes of Resistance between Final Year Undergraduate Students and Postgraduate Pharmacy Students
Keywords:Knowledge, Attitudes, Practice, Antibiotics, Pharmacy Students.
Background: Antibiotic resistance is a problem leading to difficulty in treating microbial infections that
may occur due to many causes. For the important pharmacist role as a reference for the information and the
ability to access to medications, they are vital members in lowering the development of antibiotic resistance,
and also they support the proper use and control of antibioticsmisuse. Our goal is comparing the knowledge,
attitude, practice of undergraduate and postgraduate pharmacy students and their perceptions about the
causing factors of antibiotic resistance in Iraq.
Method: A cross sectional study was conducted involving the final year bachelor and postgraduate (master
and Philosophical doctor) students from different private and public pharmacy universities in Iraq. An
adjusted questionnaire was administrated to 233 students electronically and the results obtained were
analyzed by using SPSS 20 for Windows Descriptive. A significant difference was found in the knowledge
of antibiotic between undergraduate and postgraduate(Master and Philosophical doctor) students (Mean
knowledge score5.32 versus 5.92 respectively, p<0.001).Attitude data also showed a higher positive attitude
of postgraduate students according to antibiotic use and resistance when compared to undergraduate
students (Mean attitude score: 2.97 versus 2.92 respectively, p<0.05). Significant difference was observed in
practices of the comparative students groups regarding to the frequency of self- medication, reason, sources
of antibiotic use and in terms of disease condition where they used(p<0.05) . Continuous mutation and gene
changes of micro-organism taken the higher percentages answere d yes for the undergraduate students while
the limited restrictions on antibiotic usage taken the higher percentages answere d yes for the postgraduate
students (89.1% and 98.5%respectively).
Conclusion: We can conclude from data of our study that there is a significant difference in the knowledge,
attitude, practice of antibiotic use and perceptions of the possible causes of resistance between postgraduate
(master and Philosophical doctor) and undergraduate (fifth year bachelor) pharmacy students when assessing
the use of antibiotic and related resistance. This will help to determine the educational requirements for
pharmacy students in colleges of Iraq for better understanding and dealing with the antibiotic resistance
problem in the future
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