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Title: Public knowledge, attitudes and practices surrounding antibiotic use and resistance in Cambodia
Authors: Lim, Jane Mingjie
Chhoun, Pheak
Tuot, Sovannary
Om, Chhorvoin
Krang, Sidonn
Ly, Sovann
Hsu, Li Yang 
Yi, Siyan 
Tam, Clarence C 
Issue Date: 18-Jan-2021
Publisher: Oxford University Press (OUP)
Citation: Lim, Jane Mingjie, Chhoun, Pheak, Tuot, Sovannary, Om, Chhorvoin, Krang, Sidonn, Ly, Sovann, Hsu, Li Yang, Yi, Siyan, Tam, Clarence C (2021-01-18). Public knowledge, attitudes and practices surrounding antibiotic use and resistance in Cambodia. JAC-Antimicrobial Resistance 3 (1). ScholarBank@NUS Repository.
Abstract: Background: WHO’s Global Action Plan on Antimicrobial Resistance includes as a priority to increase public education surrounding antibiotic use and resistance. Monitoring population-level antibiotic behaviours is crucial for informing intervention strategies, but data from a broad range of settings, particularly lower-resourced countries, are lacking. Objectives: We measured public knowledge, attitudes and practices regarding antibiotics and antibiotic resistance in Cambodia, providing baseline information against which to monitor the progress of future interventions. Methods: Between September and October 2018, we conducted a household survey of knowledge, attitudes and practices related to antibiotic use in urban and rural populations of three Cambodian provinces: Phnom Penh, Siem Reap and Prey Veng. Response rates were respectively 79%, 86% and 86%. Results: Among the 2005 participants, we found high levels of awareness of terms relating to antibiotics (86.5%) and antibiotic resistance; most participants also recognized that antibiotic resistance is a problem (58.4%). However, few understood that antibiotics are effective only against bacterial infections (1.2%). We also found province-specific differences in participants’ sources of antibiotics and their sources of AMR-related information. In regression analyses, more favourable antibiotic practice scores were associated with higher knowledge (b " 0.18; 95% CI: 0.14–0.22) and attitude (b " 0.16; 95% CI: 0.11–0.22) scores, as well as trust in healthcare sources to obtain antibiotics and antibiotic information. Conclusions: This study highlights the importance of interventions and public communication on antibiotic use and resistance that is effectively targeted to the local context through trusted healthcare providers.
Source Title: JAC-Antimicrobial Resistance
ISSN: 26321823
DOI: 10.1093/jacamr/dlaa115
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