Evidence map›Paper›PMID 33287878›Full record

ArticleAntimicrobial resistance and infection control2020

Knowledge, attitudes and practices regarding antimicrobial use and resistance among communities of Ilala, Kilosa and Kibaha districts of Tanzania.

Calvin Sindato, Leonard E G Mboera, Bugwesa Z Katale, Gasto Frumence, Sharadhuli Kimera, Taane G Clark, Helena Legido-Quigley, Stephen E Mshana, Mark M Rweyemamu, Mecky Matee

Open access · goldAbstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 3 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Calvin SindatoNational Institute for Medical Research, Tabora Research Centre, Tabora, Tanzania. csindato@gmail.com.ORCID 0000-0003-3040-165X
Leonard E G MboeraSACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Bugwesa Z KataleSACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Gasto FrumenceSACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Sharadhuli KimeraSACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Taane G ClarkLondon School of Hygiene and Tropical Medicine, London, United Kingdom.
Helena Legido-QuigleyLondon School of Hygiene and Tropical Medicine, London, United Kingdom.
Stephen E MshanaSACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Mark M RweyemamuSACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Mecky MateeSACIDS Foundation for One Health, Sokoine University of Agriculture, Morogoro, Tanzania.
Southern African Centre for Infectious Disease Surveillance · TZLondon School of Hygiene & Tropical Medicine · GBMuhimbili University of Health and Allied Sciences · TZCatholic University of Health and Allied Sciences · TZTanzania Commission for Science and Technology · TZ

Funding

Medical Research Council MR/S012796/1
6 · The paper itself

Abstract

backgroundAntimicrobial resistance (AMR) represents one of the biggest threats to health globally. This cross-sectional study determined knowledge, attitudes and practices (KAP) regarding antimicrobial use (AMU) and AMR among communities of Ilala, Kilosa and Kibaha in Tanzania.

methodA semi-structured questionnaire was used to collect socio-demographic and KAP data through face-to-face interviews. Responses related to the triad of KAP were assigned scores that were aggregated for each participant. Linear regression analysis was conducted to determine predictors of KAP scores.

resultsThe study enrolled 828 participants from the three districts. A total of 816 (98.6%) were aware of antimicrobials, and 808 (99%, n = 816) reported to have used them. Antimicrobials were mainly used to treat cough (68.0%), urinary tract infections (53.4%), diarrhoea (48.5%) and wounds (45.2%). The most frequent sources of antimicrobials were health facility (65.0%, n = 820) and pharmacies/basic drug shops (53.7%). The median AMU knowledge score was 5 (IQR = 4, 7) and that of AMR was 26 (IQR=23, 29). The median AMU attitudes score was 32 (IQR: 29, 35) and that of AMR was 19 (IQR=17, 22). The median AMU practice score was 3 (IQR: 3, 3). The KAP scores were significantly influenced by increased participant's age (β

conclusionThe study documented a moderate level of KAP regarding AMU and AMR in the study districts. The participant's age and level of education were significantly associated with participant's KAP scores. The observed inadequate knowledge, inappropriate attitude, and practices of AMU and AMR should be considered as alarming problems that require immediate actions including policy formulation and planning of community-based mitigation measures.

Indexed as

Drug Resistance, MicrobialHealth Knowledge, Attitudes, PracticeAdultAnti-Infective AgentsCross-Sectional StudiesFemaleHumansMaleMiddle AgedAnti-Infective AgentsAntimicrobialAttitudeCommunityKnowledgePracticesResistanceTanzaniaUse

Identifiers

PMID33287878
PMCPMC7720393
OpenAlexW3111574078

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.