Evidence map›Paper›PMID 34223067›Full record

ArticleJAC-antimicrobial resistance2021

Public knowledge, attitudes and practices surrounding antibiotic use and resistance in Cambodia.

Jane Mingjie Lim, Pheak Chhoun, Sovannary Tuot, Chhorvoin Om, Sidonn Krang, Sovann Ly, Li Yang Hsu, Siyan Yi, Clarence C Tam

Abstract read
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Article in JAC-antimicrobial resistance, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

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  11. Parental health-seeking behavior on self-medication, antibiotic use, and antimicrobial resistance in children.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
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  12. Methicillin resistantTropical doctor · 2023
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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

9 authors.

Jane Mingjie LimSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.ORCID 0000-0001-9017-4714
Pheak ChhounKHANA Center for Population Health Research, Phnom Penh, Cambodia.
Sovannary TuotKHANA Center for Population Health Research, Phnom Penh, Cambodia.
Chhorvoin OmKHANA Center for Population Health Research, Phnom Penh, Cambodia.
Sidonn KrangDepartment of Communicable Diseases Control, Ministry of Health, Phnom Penh, Cambodia.
Sovann LyDepartment of Communicable Diseases Control, Ministry of Health, Phnom Penh, Cambodia.
Li Yang HsuSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.ORCID 0000-0002-0396-066X
Siyan YiSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Clarence C TamSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWHO's Global Action Plan on Antimicrobial Resistance includes as a priority to increase public education surrounding antibiotic use and resistance. Monitoring population-level antibiotic behaviours is crucial for informing intervention strategies, but data from a broad range of settings, particularly lower-resourced countries, are lacking.

objectivesWe measured public knowledge, attitudes and practices regarding antibiotics and antibiotic resistance in Cambodia, providing baseline information against which to monitor the progress of future interventions.

methodsBetween September and October 2018, we conducted a household survey of knowledge, attitudes and practices related to antibiotic use in urban and rural populations of three Cambodian provinces: Phnom Penh, Siem Reap and Prey Veng. Response rates were respectively 79%, 86% and 86%.

resultsAmong the 2005 participants, we found high levels of awareness of terms relating to antibiotics (86.5%) and antibiotic resistance; most participants also recognized that antibiotic resistance is a problem (58.4%). However, few understood that antibiotics are effective only against bacterial infections (1.2%). We also found province-specific differences in participants' sources of antibiotics and their sources of AMR-related information. In regression analyses, more favourable antibiotic practice scores were associated with higher knowledge (β = 0.18; 95% CI: 0.14-0.22) and attitude (β = 0.16; 95% CI: 0.11-0.22) scores, as well as trust in healthcare sources to obtain antibiotics and antibiotic information.

conclusionsThis study highlights the importance of interventions and public communication on antibiotic use and resistance that is effectively targeted to the local context through trusted healthcare providers.

Identifiers

PMID34223067
PMCPMC8210153

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LicenceCC BY-NC
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Registered trials

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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.