An educational intervention to promote appropriate antibiotic use for acute respiratory infections in a district in Egypt- pilot study
Open accessAbstract
BACKGROUND: Antibiotic overuse is the most important modifiable factor contributing to antibiotic resistance. We conducted an educational campaign in Minya, Egypt targeting prescribers and the public through communications focused on appropriate antibiotic use for acute respiratory infections (ARIs). METHODS: The entire population of Minya was targeted by the campaign. Physicians and pharmacists were invited to participate in the pre-intervention assessments. Acute care hospitals and a sample of primary healthcare centers in Minya were randomly selected for a pre-intervention survey and all patients exiting outpatient clinics on the day of the survey were invited to participate. The same survey methodology was conducted for the post-intervention assessments. Descriptive comparisons were made through three assessments conducted pre- and post-intervention. We quantitated antibiotic prescribing through a survey administered to patients with an ARI exiting outpatient clinics. Additionally, physicians, pharmacists, and patients were interviewed regarding their attitudes and beliefs towards antibiotic prescribing. Finally, physicians were tested on three clinical scenarios (cold, bronchitis, and sinusitis) to measure their knowledge on antibiotic use. RESULTS: Post-intervention patient exit surveys revealed a 23.1% decrease in antibiotic prescribing for ARIs in this population (83.7 to 64.4%) and physicians and pharmacists self-reported less frequently prescribing antibiotics for ARIs on their follow-up surveys. We also found an increase in correct responses to the clinical scenarios and in attitude and belief scores for physicians, pharmacists, and patients regarding antibiotic use in the post-intervention sample. CONCLUSIONS: Overall, the samples surveyed after the community-based educational campaign reported a lower frequency of antibiotic prescribing and improved knowledge and attitudes regarding antibiotic misuse compared to the samples surveyed before the campaign. Ongoing interventions educating providers and patients are needed to decrease antibiotic misuse and reduce the spread of antibiotic resistance in Egypt.
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A pre-and post-intervention study in Egypt revealed that an antibiotic use awareness campaign significantly improved caregivers' or patients' knowledge and attitude towards antibiotic use, and after the intervention they were less likely to put pressure on doctors or pharmacists to prescribe antibiotics.
“a pre-and post-intervention study in Egypt revealed that antibiotic use awareness campaign significantly improved the caregivers or patients’ knowledge and attitude towards antibiotics use; after the educational intervention, the caregivers/adults were less likely to put pressure on doctors or pharmacists to prescribe antibiotics [72].”
From No prescription? No problem: drivers of non-prescribed sale of antibiotics among community drug retail outlets in low and middle income countries: a systematic review of qualitative studies (2021) · cites this paper as [72]
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“For example, a pre-and post-intervention study in Egypt revealed that antibiotic use awareness campaign significantly improved the caregivers or patients’ knowledge and attitude towards antibiotics use; after the educational intervention, the caregivers/adults were less likely to put pressure on doctors or pharmacists…”
Background
- Authors
- Kandeel, A., Palms, D. L., Afifi, S., Kandeel, Y., Etman, A., Hicks, L. A., & Talaat, M.
- Affiliations
- Ministry of Health and Population (EG)
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Palms, Danielle L.
- Venue
- BMC Public Health
- Published
- 2019-05
- Volume
- 19
- Issue
- S3
- Pages
- 498-498
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC6696705
- OpenAlex
- W2944147746
- Cited by
- 64
- References
- 18
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 7 · 2023: 12 · 2022: 6 · 2021: 16 · 2020: 2
- FWCI
- 3.90
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Public Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- United States Agency for International Development
- Topics
- Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
- Health Sciences › Health Professions › General Health Professions › Healthcare cost, quality, practices
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Keywords
- antibiotic overuse, acute respiratory infections, antibiotic prescribing, antibiotic resistance, educational intervention, physician attitudes, pharmacist attitudes, patient attitudes, antibiotic misuse, cold, bronchitis, sinusitis
- MeSH terms
- Acute Disease, Ambulatory Care Facilities, Anti-Bacterial Agents, Education, Continuing, Egypt, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Pharmacists, Practice Patterns, Physicians', Physicians, Pilot Projects, Primary Health Care, Surveys and Questionnaires, Respiratory Tract Infections
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