Abstract：
BACKGROUND:Overuse and misuse of antibiotics have been reported in Hajj. However, little is known about Knowledge, Attitude and Practice (KAP) of pilgrims themselves in relation to these agents. METHODS:Adult pilgrims from seven countries attending the 2015 Hajj were interviewed using a structured KAP questionnaire. RESULTS:KAP information was collected from 1476 pilgrims. Misconceptions regarding antibiotics included that they: cure all diseases (24.6%); cure common cold and flu (63.0%); are used to stop fever (47.3%); have no side effects (43.2%). Negative attitudes included prophylactic use (50%), self-medication (43.2%), non-compliance with therapy (63.5%) and storage of left-overs for future use (54.1%). In practice, 87.3% of pilgrims admitted to using non-prescribed antibiotics, only 19.3% use antibiotic as directed by their doctor and 54% do not usually check the expiry date of antibiotics before use. Over 60% brought antibiotics from their home country to KSA and 39.2% acquired non-prescribed antibiotics in Saudi Arabia. KAP scores were higher among the younger age group (≤43 years old) and among those with healthcare-related work or education and increased with increasing levels of education. CONCLUSIONS:Multifaceted and multidisciplinary approaches, both in KSA and in pilgrims' countries of origin, are needed to address antibiotic misuse during Hajj.
journal_name
Travel Med Infect Disjournal_title
Travel medicine and infectious diseaseauthors
Yezli S,Yassin Y,Mushi A,Maashi F,Aljabri N,Mohamed G,Bieh K,Awam A,Alotaibi Bdoi
10.1016/j.tmaid.2018.08.004subject
Has Abstractpub_date
2019-01-01 00:00:00pages
52-58eissn
1477-8939issn
1873-0442pii
S1477-8939(18)30272-2journal_volume
28pub_type
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