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Knowledge, Attitude and Practice (KAP) Survey Concerning Antimicrobial Use Among Australian Hajj Pilgrims


Azeem, M and Tashani, M and Barasheed, O and Heron, L and Hill-Cawthorne, GA and Haworth, E and Dwyer, DE and Rashid, H and Booy, R, Knowledge, Attitude and Practice (KAP) Survey Concerning Antimicrobial Use Among Australian Hajj Pilgrims, Infectious Disorders - Drug Targets, 14, (2) pp. 125-132. ISSN 1871-5265 (2014) [Refereed Article]

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Copyright 2014 Bentham Science Publishers

DOI: doi:10.2174/1871526514666140713161757


Resistance to antimicrobial agents has increased for reasons relating to the use and misuse of antimicrobials in human, agriculture and aquaculture. Antimicrobial use is quite high during mass gatherings such as the Hajj pilgrimage. To reduce non-prescription use and inappropriate prescribing of antimicrobials, a more thorough understanding of their use and the motives behind why patients request, even demand, antimicrobials, fail to adhere to the prescription is important. Therefore, we conducted a knowledge, attitude and practice (KAP) survey among Australian Hajj pilgrims in Mecca during Hajj 2013 using an anonymous, self-administered questionnaire concerning antimicrobial use. Our sample consisted of 229 adult Australian subjects. Mean age was 42.4 (SDą12.7) years, 178 (77.9%) were male and 80 (34.9%) used antimicrobials during their stay in Saudi Arabia. Twenty four (30.0%) obtained these in Saudi Arabia, mainly without prescription, and about half (38, 47.5%) brought them from Australia. Of the respondents, 55.8% believed that antibiotics are effective against viruses, 53.6% thought that antibiotics are effective against common cold and flu, 78.6 % that humans themselves can become resistant to antibiotics and 75.9% knew that overuse or unnecessary use of antibiotics can cause them to lose effectiveness. This study has revealed that Hajj pilgrims have inappropriate access to antimicrobials in Saudi Arabia as well as in Australia. A large scale education campaign and tighter control on prescribing and dispensing of antimicrobials could improve the appropriate antimicrobial use among Hajj pilgrims.

Item Details

Item Type:Refereed Article
Keywords:Antimicrobials, Antibiotics, Hajj, Knowledge Attitude and Practice, Survey Mecca
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Infectious diseases
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Haworth, E (Dr Elizabeth Haworth)
ID Code:97167
Year Published:2014
Deposited By:Menzies Institute for Medical Research
Deposited On:2014-12-04
Last Modified:2018-01-31

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