1. The Associations between Poor Antibiotic and Antimicrobial Resistance Knowledge and Inappropriate Antibiotic Use in the General Population Are Modified by Age
- Author
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Huiling Guo, Zoe Jane-Lara Hildon, David Chien Boon Lye, Paulin Tay Straughan, Angela Chow, Lee Kong Chian School of Medicine (LKCMedicine), National Centre for Infectious Diseases, Singapore, Yong Loo Lin School of Medicine, NUS, and Tan Tock Seng Hospital
- Subjects
Microbiology (medical) ,Public Knowledge ,RM1-950 ,public knowledge ,Biochemistry ,Microbiology ,Article ,Infectious Diseases ,population-based survey ,antimicrobial resistance ,inappropriate antibiotic use ,effect modification ,Pharmacology (medical) ,Medicine [Science] ,Antimicrobial Resistance ,Therapeutics. Pharmacology ,General Pharmacology, Toxicology and Pharmaceutics - Abstract
Objectives: Understanding factors influencing inappropriate antibiotic use can guide the design of interventions to improve antibiotic practices and reduce antimicrobial resistance (AMR). Methods: A nationally representative cross-sectional survey (N = 2004) was conducted between November 2020 and January 2021. Knowledge of antibiotic use and AMR using the World Health Organization’s Multi-Country AMR Survey questionnaire, and antibiotic practices were examined. Multivariable logistic regression was performed to identify factors associated with inappropriate antibiotic use and examine effect measure modifications. Results: After adjusting for potential con-founding, poor knowledge of antibiotic use was associated with a 3x increased odds of inappropriate antibiotic use in adults aged ≥50 years (aOR 3.11, 95% CI [2.24–4.32]), 5× increased odds in those aged 35–49 years (aOR 4.88, 95% CI [3.32–7.16]), and 7× increased odds in those aged 21–34 years (aOR 6.58, 95% CI [4.19–10.33]). While there was no statistically significant association in adults aged ≥50 years, poor knowledge of AMR increased the odds of inappropriate antibiotic use by 4 times in adults aged 35–49 years (aOR 3.73, 95% CI [1.53–9.11]) and 5 times in those aged 21–34 years (aOR 4.90, 95% CI [1.84–13.02]). Conclusions: Targeted educational interventions for specific age groups are needed in conjunction with empowering the public with knowledge of antibiotic use and AMR. National Medical Research Council (NMRC) Published version This research was funded by the National Medical Research Council Singapore, Health Services Research Grant (NMRC/HSRG/0083/2017).
- Published
- 2021