Journal article
Knowledge, attitudes, perception and reported practices of healthcare providers on antibiotic use and resistance in pregnancy, childbirth and children under two in Lao PDR: A mixed methods study
- Abstract:
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Background: Overuse and misuse of antibiotics contribute unnecessarily to antibiotic resistance (ABR), and are thereby global health threats. Inappropriate prescriptions of antibiotics during pregnancy, delivery and early childhood are widespread across the world. This study aimed to assess knowledge, attitudes, and reported practices of healthcare providers (HCPs) and to explore their perceptions regarding antibiotic use and ABR related to pregnancy, childbirth, and children under two in Lao PDR.
Methods: This is a mixed methods study with data collection in 2019 via structured interviews among 217 HCPs (medical doctors/assistant doctors, midwives/nurses, pharmacists/assistant pharmacists and drug sellers), who prescribed/dispensed antibiotics in one rural and one urban district in Vientiane province and individual qualitative interviews with 30 HCPs and stakeholders.
Results: Of the HCPs, 36% had below average knowledge regarding antibiotic use and ABR, and 67% reported prescribing antibiotics for uncomplicated vaginal delivery. Half of the HCPs did not believe that their prescribing contributed to ABR, and only 9% had participated in antibiotic education.
Conclusion: A substantial number of HCPs had suboptimal knowledge and prescribed antibiotics unnecessarily, thereby contributing to ABR. Continuous education and regular supervision of HCPs is recommended to improve the use of antibiotics related to pregnancy, childbirth, and young children.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, 283.3KB, Terms of use)
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- Publisher copy:
- 10.3390/antibiotics10121462
Authors
- Publisher:
- MDPI
- Journal:
- Antibiotics More from this journal
- Volume:
- 10
- Issue:
- 12
- Article number:
- 1462
- Publication date:
- 2021-11-27
- Acceptance date:
- 2021-11-23
- DOI:
- EISSN:
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2079-6382
- Pmid:
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34943674
- Language:
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English
- Keywords:
- Pubs id:
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1230203
- Local pid:
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pubs:1230203
- Deposit date:
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2022-04-27
Terms of use
- Copyright holder:
- Sychareun et al
- Copyright date:
- 2021
- Rights statement:
- © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
- Licence:
- CC Attribution (CC BY)
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