000			02954nam a22002417a 4500
003			OSt
005			20230815125841.0
008			190531b ||||| |||| 00| 0 eng d
040			_eNLM
060			_aTHS-00491
100			_aShrestha,Parishan. _92153
245			_aKnowledge, attitude and practice of self-medication with antibiotics among general public in Kathmandu valley, Nepal: a cross-sectional survey.
260			_cc2017.
300			_a157p.
500			_aThesis Report.
520			_aABSTRACT: Background: The inappropriate use of antibiotics has led to development and spread of bacterial resistance globally resulting in thousands of deaths every year. In Nepal, the prevalence of self-medication with antibiotics is higher. This study is designed to determine the knowledge, attitude and practice of self-medication with antibiotics among the general public. Methods: The study was a cross-sectional survey conducted during the month of May, 2018 among 437 general public of Ward number 16 of Kathmandu Metropolitan using standardized questionnaire which has been validated and reliability tested. Descriptive statistics were used to describe the general characteristics (socio-demographic, socio-economic and distance from nearest health facility) and level of knowledge, attitude and practice. Chi-square test was used to determine the association between general characteristics and level of knowledge, attitude and practice and multivariate analysis was used when needed (multinomial logistic regression). Result: Out of 437 participants, 31.1% had poor knowledge on antibiotics, 16.2% had poor attitude while around 10.0% self-medicated with antibiotics within the last 1 year. Gender, marital status, education, occupation and income were associated with level of knowledge while age, marital status, education and occupation were associated with level of attitude at 95% confidence interval whereas none were associated with level of practice. Being male, single, education of high school or lower, and lower income were statistically significant with poor knowledge (p-value < 0.05) while being single, educational of high school or lower, with employment and in non-health related field were found to be independently associated with poor attitude (p-value < 0.05). Conclusion: Although, low prevalence of self-medication with antibiotics in this study indicates good practice which could possibly be due to urban population, low knowledge on antibiotics underscore the need of educational interventions from the government on rational use of antibiotics targeting both rural and urban population. KEYWORDS: ANTIBIOTICS / SELF-MEDICATION / ANTIBIOTIC RESISTANCE / NEPAL
650			_aAntibiotics. _92154
650			_aSelf -Medication. _92155
650			_aAntibiotic Resistance. _9334
650			_aNepal. _9362
856			_uhttp://nhrc.gov.np/contact/ _yVisit NHRC Library
942			_2NLM _cTR
999			_c2702 _d2702