Knowledge Of Rational Use Research Articles

THE RELATIONSHIP BETWEEN KNOWLEDGE LEVEL AND RATIONAL HEADACHE PAIN SELF-MEDICATION BEHAVIOUR ON FIKES STUDENTS AT LAMONGAN MUHAMMADIYAH UNIVERSITY

The prevalence of self-medication in Indonesia is 84.23%, a figure that has been increasing over the past three years. The increase in self-medication in Indonesia, the availability of drugs that can be taken alone without a doctor's prescription, the perception of mild illness, and the relatively low price of drugs. The potential risks of self-medication are incorrect diagnosis of disease, delay in seeking necessary treatment, disease becoming more severe, wrong method administration, and wrong dose. Knowledge of rational use of drug self-medication still lacks students at 55.5%. It is important to know that student self-medication, in which students can overcome minor complaints of their own illness, does not have an impact on health and academic achievement. The incidence of headaches in students is 11-40% and mild headache levels interfere with academic performance. This study measures level knowledge behavior to determine the relationship between level knowledge and rational headache self-medication behavior by students at Muhammadiyah Lamongan University. The research design was cross-sectional descriptive analytics. Data were collected using online questionnaires. The sample included 166 Fike students using a purposive sampling technique. The results indicated level of knowledge: students classified sufficient (59.0%) and rational head pain self-medication behavior classified as good (57.8%). The results of the Spearman Rho test analysis showed a p-value of <0.001 and correlation coefficient of 0.256. This study concluded that there is a relationship between level of knowledge and rational headache self-medication behavior with low correlation strength.

Knowledge, Attitudes, and Practices Related to Antibiotic Use and Antibiotic Resistance among Poultry Farmers in Urban and Peri-Urban Areas of Ouagadougou, Burkina Faso.

Increased use of antibiotics in livestock is a public health concern, as it poses risks of antibiotic residues and antibiotic-resistant pathogens entering the food chains and infecting humans. A cross-sectional survey was conducted on 216 poultry farms to study knowledge, attitudes and practices of poultry farmers on the use of antibiotics in urban and peri-urban areas of Ouagadougou. Results show that only 17.13% (37/216) of farmers attended training on poultry production. Majority of farmers-85.65% (185/216) were not knowledgeable about the rational use of antibiotics. When there was a disease outbreak, 31.98% (63/197) of farmers used veterinary drugs without a prescription and 22.34% (44/197) consulted a community animal health worker. It should also be noted that 79.19% (156/197) of farmers reported using chicken meat as per normal if the bird died during or right after treatment with an antibiotic. Knowledge of rational use of antibiotics was positively influenced by a good attitude adopted by the farmer during the illness of birds and negatively influenced by disease treatment success and high level of education of the farmer. Lack of knowledge about the rational use of antibiotics including their use without a prescription are serious risk factors for the emergence of antimicrobial resistance. Awareness of farmers and other veterinary drug supply chain actors such as drug stockists and animal health workers on best practices in antimicrobial use and promotion of good biosecurity on farms are important to reduce the misuse of antibiotics.

KNOWLEDGE OF RATIONAL USE OF MEDICINE AMONG NURSING STUDENTS

Introduction: Rational use of medicine (RUM) is critical for achieving therapeutic goals and avoiding unwanted effects. However, irrational medicine use is becoming a severe issue worldwide since it leads to increased medical costs and unwanted effects. Students as prospective professional nurses need to have knowledge that supports the rational use of medicine to ensure rational administration of the medicine for patients. Methods: This descriptive research was conducted to identify knowledge of rational use of medicine among nursing students of Faculty of Nursing Universitas Padjadjaran. Quantitative data was collected by asking respondents to fill out questionnaires. A total of 285 respondents had filled out an online research questionnaire (response rate=76.61%). The collected data were analyzed with descriptive analysis (frequency, percentage, and average). Result: The results of this study showed that there is some knowledge related to (RUM) which is not appropriate, such as assuming that over the counter medicines are safe to consume with prescribed medicines (53.3%); tablet medicines can be divided to be administered in child patients (57.9%). In addition, almost all respondents considered it unnecessary to be cautious in giving medication to pregnant and lactating mothers (41.1%) and the elderly (40.4%). Conclusion: Thus, nursing students are expected to gain RUM knowledge to obtain better RUM attitudes and behaviors in providing nursing interventions.

Knowledge of use of antibiotics among consumers in Tanzania.

BackgroundStudies assessing consumers’ knowledge of the rational use of antibiotics are essential to understand the knowledge gap before intervention strategies are instituted.ObjectivesTo assess the knowledge of rational use of antibiotics among consumers in Dar es Salaam, Tanzania.MethodsA cross-sectional study assessing knowledge of rational use of antibiotics among 960 consumers was conducted in Dar es salaam in March 2021. Participants were consecutively enrolled from outpatient pharmacies in selected public and private hospitals and marketplaces in Ilala Municipality. Data were collected using the WHO-validated questions on knowledge of consumers of antibiotic uses.ResultsOverall, 196 (20.4%) and 503 (52.4%) participants demonstrated good knowledge of rational antibiotic use and conditions that can be treated with antibiotics, respectively. However, 678 (70.6%) responded that they stopped using antibiotics after dose completion, 515 (53.6%) would request the same antibiotic if it had helped to treat a similar condition in the past and 406 (42.3%) are willing to use the same antibiotic if a friend or family member used the medication previously to treat similar signs and symptoms. Besides, the following conditions were mentioned as being treatable with antibiotics: influenza (50.7%), sore throat (61.4%) and urinary tract infection (60.5%).ConclusionsThe majority of the consumers had poor knowledge of the rational uses of antibiotics and a moderate proportion had good knowledge of the conditions that are treatable with antibiotics. Those with a high level of education and with health insurance had good knowledge of rational uses of antibiotics.

Study of knowledge, attitude, practice of rational use of medicines among interns at Mc Gann teaching district hospital, Shivamogga- a descriptive cross-sectional study

Background: Rational use of medicines requires that the patients receive medication appropriate to their clinical needs, in doses that meet their own individual requirements for an adequate period of lime, and at the lowest cost to them and to their community. Objective of the study were like descriptive cross- sectional study was conducted to determine and identify the level of knowledge, attitude and practice regarding rational use of medicines among the interns.Methods: A validated structured questionnaire containing 19 questions regarding rational use of medicines in knowledge, attitude and practice (KAP) format was distributed in hand among 109 interns affiliated to this institution. Descriptive statistics were used to illustrate the results in the form of number and percentage.Results: Out of 109 interns, 102 completed the questionnaire and were included in the final analysis. Majority of interns who participated in study were aware of the concept of rational use of medicine but the knowledge related to EML (essential medicines list), P drugs, schedule H drugs and number of FDCs (fixed dose combination) in EML was limited.Conclusions: As interns are future prescribers, they need to be aware of all the aspects of rational use of medicine and there is need to emphasise on learning module and training programs to ensure the interns have knowledge of rational use of medicines.

Malaria Perceptions among Medicine Vendors in Buea Community: An Assessment of Knowledge of Malaria and Conditions of Antimalarial Drug Dispensing.

Lack of knowledge of rational use of antimalarial drugs among medicine vendors is a serious problem, notably in areas of intense transmission. These misunderstandings increase the risks of resistance and adverse drug reactions. This study aimed to assess knowledge of malaria and environments wherein medicine vendors dispense antimalarials in the Buea community. Administration of a community-based cross-sectional survey of a random sample of 140 medicine vendors living within the Buea community occurred between March and June 2017. The survey sought to obtain information from medicine vendors on their general knowledge of malaria as well as their dispensing practices. Statistically significant findings were associated with p ≤ .05. The majority of participants were aware that use of insecticide - treated bed nets (ITNs) and maintenance of a clean environment equate to effective malaria prevention efforts. Alternatively, only one-third of participants correctly attributed the causative organism of malaria to being protozoan. Participants employed within drugstore settings had less knowledge of malaria than their hospital/community counterparts did. A directly proportional relationship existed between the amount of experience that participants had in their respective disciplines with an increased knowledge of malaria overall. These findings reveal fluctuating knowledge of malaria among study participants. Reported antimalarial dispensing practices also warrants room for improvement. Routine monitoring and evaluation to prevent emergence of resistant strains to current efficacious antimalarials remains paramount.

Knowledge of Malaria and Antimalarial Drug Dispensing Practices in Buea Community

ObjeciveThis study was aimed at assessing the knowledge of malaria as well as perception and dispensing practices of antimalarials among vendors in Buea communityIntroductionLack of knowledge of rational use of antimalarial drugs among dispensers is a serious problem, especially in areas of intense transmission thus increasing the risk of resistance and adverse drug reactions.MethodsA community-based cross-sectional survey of a random sample of 140 drug vendors living within the Buea community was conducted between March and June 2017. Questionnaire was designed to obtain information from drug vendors on the general knowledge of malaria as well as dispensing practices. Data were analyzed using SPSS Statistics 20.0 and were considered significant at P ≤ 0.05ResultsKnowledge of malaria symptoms, transmission, and prevention was reasonable among 55.8% (77) of the respondents. Only 33.6% (47) of the respondents could attribute the cause of malaria to protozoan of genus Plasmodium species. Of the 140 vendors, 115(82.7%) prescribe antimalarial drugs. The knowledge of the national protocol was malaria case management among dispensers was 35.0%. Vendors in hospital/community pharmacies were 2.4 times (OR = 3.14, 95% CI: 4.14 - 8.74, P < 0.001). more knowledgeable about malaria treatment protocol than those of in drugstores. The prevalence of self-prescription of antimalarials was 39.3%. Self-prescription was significantly higher in drugstores than hospital/community pharmacies (P=0.004). In all, 56(40.6%) of vendors showed good practices regarding antimalarial drug dispensing with majority (51.7%) from community pharmacies (OR=2.27,95% CI: 1.13-4.56).ConclusionsFindings reveal moderate knowledge of malaria but poor prescription and dispensing practices of antimalarial drugs among vendors, thus indicating a need for routine monitoring and evaluation to prevent emergence of resistant strains to current efficacious antimalarials

Drug utilization research: a review

Data from drug utilization research is an invaluable resource for all stake holders involved in drug and health policies. Drug utilization is “marketing, distribution, prescription and use of drugs in a society, with special emphasis on the resulting medical, social and economic consequences”. Research on drug utilization includes factors related to prescribing, dispensing, administering and intake of medication and its associated events. The ultimate purpose of drug utilization research is to estimate the optimal quality of drug therapy by identifying, documenting, analysing problems in drug utilization and monitoring the consequences. It encourages the prescribers to prescribe correct drug at appropriate dose and affordable price. It contributes to the knowledge of rational use of drugs in the society; whether the drug is being prescribed appropriately, whether the drug is taken in correct dosage, whether the drug is available at affordable price or misused. It provides valuable feedback about the rationality of the prescription to the doctors. It also assesses whether an intervention affects the drug use in the population by examining the outcomes of different types of intervention given to improve rationality in drug use. Drug utilization research can be qualitative or quantitative and can be done by various methods. This review highlights the understanding of various aspects, different designs and WHO guidelines for conducting drug utilization research.

Gamified e-learning course: A way to prudent use of antibiotics

This article was migrated. The article was not marked as recommended. The increase in antimicrobial resistance combined with the misuse of antimicrobials calls for antimicrobial stewardship programs to promote prudent use of antimicrobials. Education of prescribers can complement other antimicrobial stewardship activities.We report the successful development of a gamified e-learning course simulating the daily clinical work based on three virtual patients. We evaluated the course using a 16-item questionnaire, in which 125 doctors reported to have completed the course. Seventy-six percent (N 123) reported to have a wider knowledge of rational use of antibiotics after the course, and this was regardless of their self-estimated prior knowledge. The course was assessed by 74 % (N 119) to have a high professional level and by 67 % (N 119) to have motivated them to rational use of antimicrobials. The game-inspired design of the course was reported to have a positive influence on the learners' motivation for completing the course (64 %, N 114), helped maintain interest during the course (66 %, N 115), and enhanced the perceived educational benefit of the course (71 %, N 112). The interactive elements of the course were generally evaluated to be more educational than the passive elements.In conclusion, an interactive and gamified e-learning course based on virtual patients can be used as a strong educational tool in an antimicrobial program.

Awareness of Rational Medication Use and Antibiotic Self- Medication Practices among Undergraduate Students in a University in Sri Lanka

Purpose : To evaluate the practice of self-medication and evaluate the knowledge of rational use of antibiotics among undergraduate students of University of Peradeniya, Sri Lanka. Method : A cross-sectional, recall study was conducted among the university student population who practice self-medication in the study location. Stratified, random sampling technique was used to distribute 246 questionnaires in eight faculties of the institution. The response rate was 71%, and 175 completed questionnaires were analyzed to determine significant differences and correlation with different variables. Results : A majority of the study sample were females (54%), aged 23 - 25 years (46.9%). The most frequently used antibiotic was amoxicillin (95.4%). Common cold with fever was the disease condition treated by a large majority (84.9%). Knowledge on dose, frequency, duration and side-effects of antibiotics among students was moderate, with a mean value of 58.3%. There was a significant difference in knowledge on antibiotics between health science and non-health science students although no significant difference was observed in knowledge with respect to gender, academic year and family income. Conclusion : Antibiotic consumption was associated with students’ academic background. This study highlights the need for interventions to assure rational use of antibiotics. Keywords : Antibiotics, Self-medication, Rational use, Undergraduate students, Awareness

Changes in the management of tuberculosis

There has been significant change in management of tuberculosis ever since pre-chemotherapeutic era to the present day RNTCP protocol based on specific disease categories. This has been based on knowledge of rational use of anti-TB drugs. DOTS has added new dimensions to TB control program. Public-private partnership will foster the way ahead for better outcome, only if every physician follows management protocol.