Knowledge, attitude and practice (KAP) survey regarding antibiotic use among pilgrims attending the 2015 Hajj mass gathering.

Saber Yezli; Yara Yassin; Abdulaziz Mushi; Fuad Maashi; Nibras Aljabri; Gamal Mohamed; Kingsley Bieh; Awam Awam; Badriah Alotaibi

doi:10.1016/j.tmaid.2018.08.004

Knowledge, attitude and practice (KAP) survey regarding antibiotic use among pilgrims attending the 2015 Hajj mass gathering.

Saber Yezli, Yara Yassin, Abdulaziz Mushi, Fuad Maashi, Nibras Aljabri, Gamal Mohamed, Kingsley Bieh, Awam Awam, Badriah Alotaibi

Faculty of Education

Liverpool School of Tropical Medicine

Research output: Contribution to journal › Article › peer-review

26 Citations (Scopus)

Abstract

BACKGROUND

Overuse and misuse of antibiotics have been reported in Hajj. However, little is known about Knowledge, Attitude and Practice (KAP) of pilgrims themselves in relation to these agents.

METHODS

Adult pilgrims from seven countries attending the 2015 Hajj were interviewed using a structured KAP questionnaire.

RESULTS

KAP information was collected from 1476 pilgrims. Misconceptions regarding antibiotics included that they: cure all diseases (24.6%); cure common cold and flu (63.0%); are used to stop fever (47.3%); have no side effects (43.2%). Negative attitudes included prophylactic use (50%), self-medication (43.2%), non-compliance with therapy (63.5%) and storage of left-overs for future use (54.1%). In practice, 87.3% of pilgrims admitted to using non-prescribed antibiotics, only 19.3% use antibiotic as directed by their doctor and 54% do not usually check the expiry date of antibiotics before use. Over 60% brought antibiotics from their home country to KSA and 39.2% acquired non-prescribed antibiotics in Saudi Arabia. KAP scores were higher among the younger age group (≤43 years old) and among those with healthcare-related work or education and increased with increasing levels of education.

CONCLUSIONS

Multifaceted and multidisciplinary approaches, both in KSA and in pilgrims' countries of origin, are needed to address antibiotic misuse during Hajj.

Original language	English
Pages (from-to)	52-58
Number of pages	7
Journal	Travel Medicine and Infectious Disease
Volume	28
Early online date	14 Aug 2018
DOIs	https://doi.org/10.1016/j.tmaid.2018.08.004
Publication status	Published - 1 Apr 2019

Keywords

Antibiotics
Antimicrobial resistance
Attitude and practice
Hajj
Health knowledge
Mass gathering
Self-medication

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KAP paper V31Accepted author manuscript, 723 KB

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title = "Knowledge, attitude and practice (KAP) survey regarding antibiotic use among pilgrims attending the 2015 Hajj mass gathering.",

abstract = "BACKGROUNDOveruse and misuse of antibiotics have been reported in Hajj. However, little is known about Knowledge, Attitude and Practice (KAP) of pilgrims themselves in relation to these agents.METHODSAdult pilgrims from seven countries attending the 2015 Hajj were interviewed using a structured KAP questionnaire.RESULTSKAP information was collected from 1476 pilgrims. Misconceptions regarding antibiotics included that they: cure all diseases (24.6\%); cure common cold and flu (63.0\%); are used to stop fever (47.3\%); have no side effects (43.2\%). Negative attitudes included prophylactic use (50\%), self-medication (43.2\%), non-compliance with therapy (63.5\%) and storage of left-overs for future use (54.1\%). In practice, 87.3\% of pilgrims admitted to using non-prescribed antibiotics, only 19.3\% use antibiotic as directed by their doctor and 54\% do not usually check the expiry date of antibiotics before use. Over 60\% brought antibiotics from their home country to KSA and 39.2\% acquired non-prescribed antibiotics in Saudi Arabia. KAP scores were higher among the younger age group (≤43 years old) and among those with healthcare-related work or education and increased with increasing levels of education.CONCLUSIONSMultifaceted and multidisciplinary approaches, both in KSA and in pilgrims' countries of origin, are needed to address antibiotic misuse during Hajj.",

keywords = "Antibiotics, Antimicrobial resistance, Attitude and practice, Hajj, Health knowledge, Mass gathering, Self-medication",

author = "Saber Yezli and Yara Yassin and Abdulaziz Mushi and Fuad Maashi and Nibras Aljabri and Gamal Mohamed and Kingsley Bieh and Awam Awam and Badriah Alotaibi",

year = "2019",

month = apr,

day = "1",

doi = "10.1016/j.tmaid.2018.08.004",

language = "English",

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journal = "Travel Medicine and Infectious Disease",

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T1 - Knowledge, attitude and practice (KAP) survey regarding antibiotic use among pilgrims attending the 2015 Hajj mass gathering.

AU - Yezli, Saber

AU - Yassin, Yara

AU - Mushi, Abdulaziz

AU - Maashi, Fuad

AU - Aljabri, Nibras

AU - Mohamed, Gamal

AU - Bieh, Kingsley

AU - Awam, Awam

AU - Alotaibi, Badriah

PY - 2019/4/1

Y1 - 2019/4/1

N2 - BACKGROUNDOveruse and misuse of antibiotics have been reported in Hajj. However, little is known about Knowledge, Attitude and Practice (KAP) of pilgrims themselves in relation to these agents.METHODSAdult pilgrims from seven countries attending the 2015 Hajj were interviewed using a structured KAP questionnaire.RESULTSKAP information was collected from 1476 pilgrims. Misconceptions regarding antibiotics included that they: cure all diseases (24.6%); cure common cold and flu (63.0%); are used to stop fever (47.3%); have no side effects (43.2%). Negative attitudes included prophylactic use (50%), self-medication (43.2%), non-compliance with therapy (63.5%) and storage of left-overs for future use (54.1%). In practice, 87.3% of pilgrims admitted to using non-prescribed antibiotics, only 19.3% use antibiotic as directed by their doctor and 54% do not usually check the expiry date of antibiotics before use. Over 60% brought antibiotics from their home country to KSA and 39.2% acquired non-prescribed antibiotics in Saudi Arabia. KAP scores were higher among the younger age group (≤43 years old) and among those with healthcare-related work or education and increased with increasing levels of education.CONCLUSIONSMultifaceted and multidisciplinary approaches, both in KSA and in pilgrims' countries of origin, are needed to address antibiotic misuse during Hajj.

AB - BACKGROUNDOveruse and misuse of antibiotics have been reported in Hajj. However, little is known about Knowledge, Attitude and Practice (KAP) of pilgrims themselves in relation to these agents.METHODSAdult pilgrims from seven countries attending the 2015 Hajj were interviewed using a structured KAP questionnaire.RESULTSKAP information was collected from 1476 pilgrims. Misconceptions regarding antibiotics included that they: cure all diseases (24.6%); cure common cold and flu (63.0%); are used to stop fever (47.3%); have no side effects (43.2%). Negative attitudes included prophylactic use (50%), self-medication (43.2%), non-compliance with therapy (63.5%) and storage of left-overs for future use (54.1%). In practice, 87.3% of pilgrims admitted to using non-prescribed antibiotics, only 19.3% use antibiotic as directed by their doctor and 54% do not usually check the expiry date of antibiotics before use. Over 60% brought antibiotics from their home country to KSA and 39.2% acquired non-prescribed antibiotics in Saudi Arabia. KAP scores were higher among the younger age group (≤43 years old) and among those with healthcare-related work or education and increased with increasing levels of education.CONCLUSIONSMultifaceted and multidisciplinary approaches, both in KSA and in pilgrims' countries of origin, are needed to address antibiotic misuse during Hajj.

KW - Antibiotics

KW - Antimicrobial resistance

KW - Attitude and practice

KW - Hajj

KW - Health knowledge

KW - Mass gathering

KW - Self-medication

U2 - 10.1016/j.tmaid.2018.08.004

DO - 10.1016/j.tmaid.2018.08.004

M3 - Article

SN - 1477-8939

VL - 28

SP - 52

EP - 58

JO - Travel Medicine and Infectious Disease

JF - Travel Medicine and Infectious Disease

ER -

Knowledge, attitude and practice (KAP) survey regarding antibiotic use among pilgrims attending the 2015 Hajj mass gathering.

Abstract

Keywords

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