Evidence mapPaperPMID 37954639Full record

ArticleJAC-antimicrobial resistance2023

Antimicrobial stewardship: knowledge, attitudes and practices regarding antimicrobial use and resistance among non-healthcare students at the University of Zambia.

Steward Mudenda, Patience Chisha, Billy Chabalenge, Victor Daka, Ruth Lindizyani Mfune, Maisa Kasanga, Martin Kampamba, Phumzile Skosana, Eustus Nsofu, Jimmy Hangoma and 8 more

Abstract read
In one paragraph

Article in JAC-antimicrobial resistance, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  18. Antimicrobial resistance profiles ofJAC-antimicrobial resistance · 2024
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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

18 authors.

Steward MudendaDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.ORCID https://orcid.org/0000-0003-1692-8981
Patience ChishaDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.
Billy ChabalengeDepartment of Medicines Control, Zambia Medicines Regulatory Authority, Lusaka, Zambia.
Victor DakaDepartment of Public Health, Michael Chilufya Sata School of Medicine, Copperbelt University, Ndola, Zambia.ORCID https://orcid.org/0000-0001-9490-5609
Ruth Lindizyani MfuneDepartment of Public Health, Michael Chilufya Sata School of Medicine, Copperbelt University, Ndola, Zambia.
Maisa KasangaCollege of Public Health, Zhengzhou University, 100 Kexue Avenue, Zhengzhou, Henan 450001, China.
Martin KampambaDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.
Phumzile SkosanaDepartment of Clinical Pharmacy, School of Pharmacy, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Eustus NsofuDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.
Jimmy HangomaDepartment of Pharmacy, School of Health Sciences, Levy Mwanawasa Medical University, Lusaka, Zambia.
Linda SiachalingaDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.
Christabel Nang'andu HikaamboDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.
Tadious ChimombeDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.
Aurel Constant AllabiLaboratory of Pharmacology and Toxicology, University of Abomey-Calavi and Teaching Hospital of Abomey-Calavi/Sô-Ava, Abomey-Calavi, Benin.
Bawa BoyaLaboratory of Biology and Molecular Typing in Microbiology, University of Abomey-Calavi, Cotonou, Benin.
Webrod MufwambiDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.
Zikria SaleemDepartment of Pharmacy Practice, Faculty of Pharmacy, Bahauddin Zakariya University, Multan, Pakistan.
Scott Kaba MatafwaliClinical Research Department, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, Keppel Street, London WC1E 7HT, UK.ORCID https://orcid.org/0000-0001-9921-7039

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Antimicrobial resistance (AMR) poses a significant threat to the world and could become humanity's next major challenge. This study assessed non-healthcare students' knowledge, attitude and practices (KAP) towards antimicrobial use (AMU) and AMR at the University of Zambia. Methods: This cross-sectional study was conducted among 443 non-healthcare students from August to October 2022 using a structured questionnaire. Data analysis was done using IBM SPSS version 24.0. Results: Of the 433 participants, 55.2%, 63.5% and 45% had moderate KAP scores regarding AMU and AMR. The prevalence of self-medication with antibiotics was 76.7%. Male participants were less likely to have good knowledge (OR = 0.524, 95% CI: 0.347-0.792) and positive attitudes (OR = 0.585, 95% CI: 0.364-0.940) towards AMU and AMR compared with females. Students who were studying Engineering and Mining were more likely to have good knowledge of AMR (OR = 1.891, 95% CI: 1.197-2.987) compared with those in Social Sciences. Those who were in their fourth and fifth years were more likely to have positive attitudes towards AMU and AMR (OR = 1.851, 95% CI: 1.147-2.986) compared with those who were in the first, second and third years. Finally, students who practised self-medication were less likely to have good self-reported practice towards AMR (OR = 0.442, 95% CI: 0.278-0.702) compared with those who did not. Conclusions: This study demonstrated that non-healthcare students had moderate KAP regarding AMU and AMR. All university students should be provided with education about AMU and AMR through free short courses, seminars, workshops, and AMR and antimicrobial stewardship awareness campaigns.

Identifiers

PMID37954639
PMCPMC10635582

What Socratic holds

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LicenceCC BY
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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 Socratic graph.