Antibiotic Usage and Resistance; Knowledge and Practices Before and After Educational Sessions

NCT ID: NCT04493008

Last Updated: 2024-10-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

310 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-01

Study Completion Date

2020-06-30

Brief Summary

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The inappropriate use of antibiotics by patients not only increases the growth of resistant bacterial strains but also, may lead to adverse side effects that range from gastrointestinal disturbances to fatal anaphylactic shock. To meet the challenges faced by the spread of antibiotics resistance, different approaches have been taken worldwide. One of the approaches which are commonly proposed is to engage instructional and educational campaigns among the health care personnel and the general population about antibiotic resistance and its dangerous consequences.The present study aims at assessing the knowledge, practices of antibiotic uses and resistance before and after educational sessions among second year dental students and a group of patients attending MIU Dental Clinics.

Detailed Description

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Statement of problem: Dental students' and patients' knowledge about antibiotic uses are essential for overcoming antibiotic resistance. Antibiotic resistance is considered an important global public health problem and is recognized as a major cause of the emerging problem of antimicrobial agent resistance. The inappropriate use of antibiotics by patients not only increases the growth of resistant bacterial strains but also, may lead to adverse side effects that range from gastrointestinal disturbances to fatal anaphylactic shock. To meet the challenges faced by the spread of antibiotics resistance, different approaches have been taken worldwide. One of the approaches which are commonly proposed is to engage instructional and educational campaigns among the health care personnel and the general population about antibiotic resistance and its dangerous consequences.

Aim of the study: The present study aims at assessing the knowledge, practices of antibiotic uses and resistance before and after educational sessions among second year dental students and a group of patients attending MIU Dental Clinics.

Materials and Methods: The study will be conducted on (315) second year dental students through a pre-and post-educational sessions questionnaire. Students will receive training sessions for four hours during their dental public health course given by senior staff members before conducting educational sessions targeting patients attending MIU Dental Clinics. Educational sessions will include verbal and visual tools.

Conditions

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Antibiotics

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Single group will be assessed before and after an educational session
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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MIU students and patents

Educational session

Group Type OTHER

Experimental: Educational session

Intervention Type BEHAVIORAL

Each patient will receive educational session consisting of face-to-face interview, administration of posters, brochures and pamphlets.

Interventions

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Experimental: Educational session

Each patient will receive educational session consisting of face-to-face interview, administration of posters, brochures and pamphlets.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Second year dental students at MIU during the Academic Year 2017/2018. Any patient over 18 years old attending the MIU Dental clinics, and agreeing to sign an informed consent to participate in the study

Exclusion Criteria

* Patients with mental disorders, deaf, and blind patients will be excluded from the study because the educational sessions will include verbal and visual tools.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Misr International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mahassen M Farghaly, Professor

Role: STUDY_DIRECTOR

Vice president of community services and environmental awareness

Locations

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Faculty of Oral & Dental Medicine

Cairo, , Egypt

Site Status

Countries

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Egypt

References

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Cope AL, Wood F, Francis NA, Chestnutt IG. General dental practitioners' perceptions of antimicrobial use and resistance: a qualitative interview study. Br Dent J. 2014 Sep;217(5):E9. doi: 10.1038/sj.bdj.2014.761.

Reference Type BACKGROUND
PMID: 25213543 (View on PubMed)

Tulip DE, Palmer NO. A retrospective investigation of the clinical management of patients attending an out of hours dental clinic in Merseyside under the new NHS dental contract. Br Dent J. 2008 Dec 20;205(12):659-64; discussion 648. doi: 10.1038/sj.bdj.2008.1044. Epub 2008 Dec 5.

Reference Type BACKGROUND
PMID: 19057559 (View on PubMed)

Dailey YM, Martin MV. Are antibiotics being used appropriately for emergency dental treatment? Br Dent J. 2001 Oct 13;191(7):391-3. doi: 10.1038/sj.bdj.4801190.

Reference Type BACKGROUND
PMID: 11697600 (View on PubMed)

Sweeney LC, Dave J, Chambers PA, Heritage J. Antibiotic resistance in general dental practice--a cause for concern? J Antimicrob Chemother. 2004 Apr;53(4):567-76. doi: 10.1093/jac/dkh137. Epub 2004 Feb 25.

Reference Type BACKGROUND
PMID: 14985274 (View on PubMed)

Abu-Mostafa NA, Al-Mejlad NJ, Al-Yami AS, Al-Sakhin FZ, Al-Mudhi SA. A survey of awareness related to the use of antibiotics for dental issues among non-medical female university students in Riyadh, Saudi Arabia. J Infect Public Health. 2017 Nov-Dec;10(6):842-848. doi: 10.1016/j.jiph.2017.01.015. Epub 2017 Feb 21.

Reference Type BACKGROUND
PMID: 28233723 (View on PubMed)

Metlay JP, Stafford RS, Singer DE. National trends in the use of antibiotics by primary care physicians for adult patients with cough. Arch Intern Med. 1998 Sep 14;158(16):1813-8. doi: 10.1001/archinte.158.16.1813.

Reference Type BACKGROUND
PMID: 9738612 (View on PubMed)

McManus P, Hammond ML, Whicker SD, Primrose JG, Mant A, Fairall SR. Antibiotic use in the Australian community, 1990-1995. Med J Aust. 1997 Aug 4;167(3):124-7. doi: 10.5694/j.1326-5377.1997.tb138809.x.

Reference Type BACKGROUND
PMID: 9269265 (View on PubMed)

Butler CC, Rollnick S, Pill R, Maggs-Rapport F, Stott N. Understanding the culture of prescribing: qualitative study of general practitioners' and patients' perceptions of antibiotics for sore throats. BMJ. 1998 Sep 5;317(7159):637-42. doi: 10.1136/bmj.317.7159.637.

Reference Type BACKGROUND
PMID: 9727992 (View on PubMed)

Annual report of the chief medical officer, volume two, 2011. Infections and the rise of antimicrobial resistance.

Reference Type BACKGROUND

WHO Library Cataloguing-in-Publication Data. Antibiotic resistance: Multi-country public awareness survey .World Health Organization. 2015.

Reference Type BACKGROUND

Lewis MA. Why we must reduce dental prescription of antibiotics: European Union Antibiotic Awareness Day. Br Dent J. 2008 Nov 22;205(10):537-8. doi: 10.1038/sj.bdj.2008.984.

Reference Type BACKGROUND
PMID: 19023306 (View on PubMed)

Wise R, Hart T, Cars O, Streulens M, Helmuth R, Huovinen P, Sprenger M. Antimicrobial resistance. Is a major threat to public health. BMJ. 1998 Sep 5;317(7159):609-10. doi: 10.1136/bmj.317.7159.609. No abstract available.

Reference Type BACKGROUND
PMID: 9727981 (View on PubMed)

Aljadhey H, Assiri GA, Mahmoud MA, Al-Aqeel S, Murray M. Self-medication in Central Saudi Arabia. Community pharmacy consumers' perspectives. Saudi Med J. 2015 Mar;36(3):328-34. doi: 10.15537/smj.2015.3.10523.

Reference Type BACKGROUND
PMID: 25737176 (View on PubMed)

Khan A K A, Banu G, K K R. Antibiotic Resistance and Usage-A Survey on the Knowledge, Attitude, Perceptions and Practices among the Medical Students of a Southern Indian Teaching Hospital. J Clin Diagn Res. 2013 Aug;7(8):1613-6. doi: 10.7860/JCDR/2013/6290.3230. Epub 2013 Jul 1.

Reference Type BACKGROUND
PMID: 24086854 (View on PubMed)

Chen C, Chen YM, Hwang KL, Lin SJ, Yang CC, Tsay RW, Liu CE, Young TG. Behavior, attitudes and knowledge about antibiotic usage among residents of Changhua, Taiwan. J Microbiol Immunol Infect. 2005 Feb;38(1):53-9.

Reference Type BACKGROUND
PMID: 15692628 (View on PubMed)

Srinivasan A, Song X, Richards A, Sinkowitz-Cochran R, Cardo D, Rand C. A survey of knowledge, attitudes, and beliefs of house staff physicians from various specialties concerning antimicrobial use and resistance. Arch Intern Med. 2004 Jul 12;164(13):1451-6. doi: 10.1001/archinte.164.13.1451.

Reference Type BACKGROUND
PMID: 15249355 (View on PubMed)

Vanden Eng J, Marcus R, Hadler JL, Imhoff B, Vugia DJ, Cieslak PR, Zell E, Deneen V, McCombs KG, Zansky SM, Hawkins MA, Besser RE. Consumer attitudes and use of antibiotics. Emerg Infect Dis. 2003 Sep;9(9):1128-35. doi: 10.3201/eid0909.020591.

Reference Type BACKGROUND
PMID: 14519251 (View on PubMed)

Azevedo MM, Pinheiro C, Yaphe J, Baltazar F. Portuguese students' knowledge of antibiotics: a cross-sectional study of secondary school and university students in Braga. BMC Public Health. 2009 Sep 23;9:359. doi: 10.1186/1471-2458-9-359.

Reference Type BACKGROUND
PMID: 19775451 (View on PubMed)

Simpson SA, Wood F, Butler CC. General practitioners' perceptions of antimicrobial resistance: a qualitative study. J Antimicrob Chemother. 2007 Feb;59(2):292-6. doi: 10.1093/jac/dkl467. Epub 2006 Nov 16.

Reference Type BACKGROUND
PMID: 17110392 (View on PubMed)

Wright EP, Jain P. Survey of antibiotic knowledge amongst final year medical students. J Antimicrob Chemother. 2004 Mar;53(3):550-1. doi: 10.1093/jac/dkh096. Epub 2004 Feb 4. No abstract available.

Reference Type BACKGROUND
PMID: 14762052 (View on PubMed)

Andre M, Vernby A, Berg J, Lundborg CS. A survey of public knowledge and awareness related to antibiotic use and resistance in Sweden. J Antimicrob Chemother. 2010 Jun;65(6):1292-6. doi: 10.1093/jac/dkq104. Epub 2010 Apr 1.

Reference Type BACKGROUND
PMID: 20360063 (View on PubMed)

Armitage, P., Berry, G., & Matthews, J. N. S. Statistical methods in medical research. Wiley Online Library,4rth edition, 2008

Reference Type BACKGROUND

Mahajan, Dr. Manali. (2014). A Questionnaire based Survey on the Knowledge, Attitude and Practises about Antimicrobial Resistance and Usage among the Second year MBBS Students of a Teaching tertiary care Hospital in Central India. International Journal of Pharmacological Research.

Reference Type RESULT

Other Identifiers

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PUB 2123001

Identifier Type: -

Identifier Source: org_study_id

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