Information from the abstract
Background: Antimicrobial resistance (AMR) is a global public health crisis driven in part by inadequate patient understanding of antibiotic pharmacology and persistent irrational use behaviors. Outpatients at private hospitals in Thailand represent an understudied population whose knowledge, awareness, expectations, and antibiotic use behaviors have not been systematically characterized using a validated multi-domain instrument. Objective: To evaluate antibiotic-related knowledge, attitudes, experiences, and behaviors (KAEB) among outpatients at a private urban hospital in Bangkok, Thailand, and to identify sociodemographic and healthcare utilization factors independently associated with each domain. Methods: A cross-sectional survey was conducted at the outpatient pharmacy of Bangmod Hospital, Bangkok, from June through August 2025 (n = 384). A validated Thai-language questionnaire assessed four domains: knowledge (13 true/false items), awareness (10 items; 5-point Likert scale), expectations regarding antibiotic prescribing and pharmacist services (13 items), and antibiotic use behaviors (12 items). Multivariable logistic regression, including Firth's penalized logistic regression where warranted, identified independent predictors of adequate domain scores. Pearson correlation assessed pairwise inter-domain associations. Independent-samples t-tests compared domain scores by hospital utilization pattern. Results: Mean domain scores were knowledge 7.09 (SD=3.35) out of 13 (54.5%), awareness 37.47 (SD=5.53) out of 50 (74.9%), expectations 46.94 (SD=6.15) out of 65 (72.2%), and behavior 41.14 (SD=7.99) out of 60 (68.6%). Only 23.7% of participants correctly recognized that antibiotics are not anti-inflammatory drugs. All KAEB domains were significantly and positively intercorrelated (r=0.316–0.456, all p
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Related topics: Antibiotic Use and Resistance · Pharmacy and Medical Practices · Medication Adherence and Compliance
Thai researcher and institutional participation
Siriporn Shupetchsomboon · Jeerisuda Orosram · Peerawat Jinatongthai · Chonladda Pitchayajittipong · Teeraporn Sadira Supapaan · Ubon Ratchathani University
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