Evidence map›Paper›PMID 37267231›Full record

ArticlePloS one2023

Antimicrobial resistance among farming communities in Wakiso District, Central Uganda: A knowledge, awareness and practice study.

James Muleme, John C Ssempebwa, David Musoke, Clovice Kankya, Solomon Tsebeni Wafula, Justine Okello, Lesley Rose Ninsiima, Rogers Wambi, James Natweta Baguma, Grace Lubega and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 8 citations in OpenAlex.

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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

12 authors at 3 institutions in 2 countries.

James MulemeDepartment of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID 0000-0001-8967-7031
John C SsempebwaDepartment of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
David MusokeDepartment of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID 0000-0003-3262-3918
Clovice KankyaDepartment of Biosecurity Ecosystems and Veterinary Public Health, College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Kampala, Uganda.
Solomon Tsebeni WafulaDepartment of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID 0000-0002-6405-015X
Justine OkelloDepartment of Biosecurity Ecosystems and Veterinary Public Health, College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Kampala, Uganda.
Lesley Rose NinsiimaDepartment of Biosecurity Ecosystems and Veterinary Public Health, College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Kampala, Uganda.
Rogers WambiDepartment of Biosecurity Ecosystems and Veterinary Public Health, College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Kampala, Uganda.ORCID 0000-0003-1792-0412
James Natweta BagumaDepartment of Biosecurity Ecosystems and Veterinary Public Health, College of Veterinary Medicine Animal Resources and Biosecurity, Makerere University, Kampala, Uganda.
Grace LubegaDepartment of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.ORCID 0000-0003-0657-7903
Brenda WagabaDepartment of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda.
Sonja HartnackVetsuisse Faculty, Section of Veterinary Epidemiology, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-5757-5708
Makerere University · UGMulago Hospital · UGUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntibiotics are increasingly becoming ineffective as antimicrobial resistance (AMR) continues to develop and spread globally-leading to more difficult to treat infections. Countries such as Uganda are still challenged with implementation of AMR related strategies due to data paucity. This includes a lack of data on the prevailing knowledge and awareness of antimicrobial resistance and antibiotic use among farming communities, both commercial and subsistence, which are instrumental in the implementation of targeted interventions. The aim of our study was to assess the knowledge, attitudes and practices on AMR among subsistence and commercial farmers in Wakiso district, central Uganda.

methodsA cross-sectional study was conducted using a semi-structured questionnaire in Wakiso district, Central Uganda in between June and September 2021. Polytomous latent class analyses were performed to group participants based on their responses. Multivariable regression and conditional inference trees were used to determine the association between demographic factors and knowledge on antibiotics and AMR.

resultsA total of 652 respondents participated in the study among whom 84% were able to correctly describe what antibiotics are. Subsistence farmers (OR = 6.89, 95% CI [3.20; 14.83]), and to a lesser extent, farming community members which obtained their main income by another business (OR = 2.25, 95% CI [1.345; 3.75]) were more likely to be able to describe antibiotics correctly than individuals involved in commercial farming. Based on the latent class analysis, three latent classes indicating different levels of knowledge on AMR, were found. Subsistence farming, higher educational level and younger age were found to be associated with belonging to a class of better knowledge.

conclusionThe majority of participants were able to correctly describe antibiotics and aware of AMR, however there was some degree of misunderstanding of several AMR concepts. Targeted AMR interventions should improve awareness and also ensure that not only subsistence farmers, but commercial farmers, are included.

Indexed as

Anti-Bacterial AgentsDrug Resistance, BacterialAgricultureCross-Sectional StudiesHealth Knowledge, Attitudes, PracticeHumansUgandaAnti-Bacterial Agents

Identifiers

PMID37267231
PMCPMC10237438
OpenAlexW4379136521

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.