Evidence map›Paper›PMID 34561253›Full record

ArticleBMJ open2021

Knowledge, attitude and practice of antibiotics and their determinants in Eritrea: an urban population-based survey.

Mulugeta Russom, Merhawi Bahta, Merhawi Debesai, Iyassu Bahta, Abrahalei Kessete, Aziza Afendi, Yodit Fitsum, Josephine Nambozi, Solyana N Kidane, Eyasu H Tesfamariam

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 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 1 institution in 2 countries.

Mulugeta RussomNational Medicines and Food Administration, Ministry of Health, Asmara, Eritrea.ORCID 0000-0003-1939-5842
Merhawi BahtaNational Medicines and Food Administration, Ministry of Health, Asmara, Eritrea meramcp19@gmail.com.ORCID 0000-0002-1690-7876
Merhawi DebesaiNational Medicines and Food Administration, Ministry of Health, Asmara, Eritrea.ORCID 0000-0002-2054-7818
Iyassu BahtaNational Medicines and Food Administration, Ministry of Health, Asmara, Eritrea.
Abrahalei KesseteNational Medicines and Food Administration, Ministry of Health, Asmara, Eritrea.ORCID 0000-0001-9409-7226
Aziza AfendiNational Medicines and Food Administration, Ministry of Health, Asmara, Eritrea.
Yodit FitsumNational Medicines and Food Administration, Ministry of Health, Asmara, Eritrea.
Josephine NamboziWHO Country Office, Asmara, Eritrea.
Solyana N KidaneWHO Country Office, Asmara, Eritrea.
Eyasu H TesfamariamDepartment of Statistics, Eritrean Institute Technology, Asmara, Eritrea.
University of Asmara · ER

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectiveTo measure knowledge, attitude and practice of antibiotics and antibiotic resistance (ABR) and their determinants in the Eritrean urban population.

designA population-based, nation-wide, cross-sectional study.

settingUrban settings of Eritrea.

participantsMembers of the general public aged ≥18 years and living in 13 urban places of Eritrea. Three-stage stratified cluster sampling was used to select the study participants. DATA COLLECTION AND ANALYSIS: Date were collected from July 2019 to September 2019 in a face-to-face interview using a structured questionnaire. The collected data were double entered and analysed using Census and Survey Processing system (V.7.0) and SPSS (V.23), respectively. Descriptive statistics, χ PRIMARY AND SECONDARY OUTCOME MEASURES: Main outcome variables were knowledge, attitude and practice of antibiotics and ABR. Secondary outcome measure was the determinants of knowledge, attitude and practice.

resultsA total of 2477 adults were interviewed. The mean score of knowledge and attitude of antibiotics and ABR was 10.36/20 (SD=3.51, minimum=0 and maximum=20) and 22.34/30 (SD=3.59, minimum=6 and maximum=30), respectively. Of those who used antibiotics, the proportion of at least one inappropriate practice (use of antibiotics without prescription and/or discontinuation of prescribed antibiotics before completing the full course) was 23.8%. Young age <24 years (adjusted odds ratio (AOR)=1.61, 95% CI: 1.08 to 2.41), male sex (AOR=1.48, 95% CI: 1.14 to 1.91), higher level of education (AOR=1.76, 95% CI: 1.08 to 2.88), and negative attitude towards appropriate use of antibiotics (AOR=0.95, 95% CI: 0.92 to 0.97) were found to be the significant determinants of inappropriate practice of antibiotics.

conclusionThe gap in knowledge and inappropriate practice of antibiotics in the Eritrean urban population was widespread; requiring immediate attention from policy-makers and healthcare professionals.

Indexed as

Anti-Bacterial AgentsHealth Knowledge, Attitudes, PracticeAdolescentAdultCross-Sectional StudiesEritreaHumansMaleSurveys and QuestionnairesUrban PopulationYoung AdultAnti-Bacterial Agentsepidemiologyinfectious diseasespublic health

Identifiers

PMID34561253
PMCPMC8475161
OpenAlexW3200970623

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.