Research Article

Antibiotic Resistance Knowledge, Attitudes, and Practices among Pharmacists: A Cross-Sectional Study in West Bank, Palestine

Table 2

Knowledge towards antibiotics, antibiotics’ uses, legality of antibiotic dispensing, and self-perception of knowledge level.

QuestionDisagreeNeutralAgree
SDaDbAcSAd
n (%)

Knowledge about antibiotics and antibiotic use
Inappropriate use of antibiotics can lead to ineffective treatment5 (3.3)3 (2)4 (2.6)28 (18.4)112 (73.7)
Antibiotics can be used to alleviate pain44 (28.9)66 (43.4)22 (14.5)12 (7.9)8 (5.3)
Patients can stop taking antibiotics upon symptoms’ improvement96 (63.2)35 (23)8 (5.3)10 (6.6)3 (2)
It is considered a good practice to keep leftover antibiotics for similar use in the future67 (44.1)34 (22.4)31 (20.4)12 (7.9)8 (5.3)
Upper respiratory infections (URI) should always be treated with antibiotics10 (6.6)16 (10.5)56 (36.8)57 (37.5)13 (8.6)
Antibiotics can kill normal flora in the body, thereby causing secondary infections4 (2.6)7 (4.6)51 (33.6)46 (30.3)44 (28.9)
Antibiotics can cause allergic reactions3 (2)8 (5.3)15 (9.9)50 (32.9)76 (50)
Amoxicillin is an antibiotic9 (5.9)5 (3.3)3 (2)5 (3.3)130 (85.5)
Panadol and aspirin are antibiotics125 (82.2)8 (5.3)10 (6.6)6 (3.9)3 (2)

Knowledge about antibiotic resistance
Prescribing broad-spectrum antibiotics is always better even if there are narrower spectrum antibiotics that are effective52 (34.2)25 (16.4)11 (7.2)24 (15.8)40 (26.3)
The mechanism of resistance to beta-lactams in Klbesiella pneumoniae is mainly enzymatic6 (3.9)8 (5.3)30 (19.7)53 (34.9)55 (36.2)
The mechanism of resistance to vancomycin-resistant Enterococcus faecalis is alteration of binding sites9 (5.9)14 (9.2)64 (42.1)50 (32.9)15 (9.9)
Wrong choice of antibiotics may lead a pathogen to lose its sensitivity towards a specific antibiotic4 (2.6)31 (20.4)19 (12.5)28 (18.4)70 (46.1)
Forgetting one or two doses of an antibiotic does not contribute to antibiotic resistance47 (30.9)58 (38.2)20 (13.2)20 (13.2)7 (4.6)
Resistant bacterial strains could not be spread in healthcare facilities34 (22.4)26 (17.1)39 (25.7)40 (26.3)13 (8.6)
Knowledge about the legality of antibiotic dispensing
I am not familiar with the legislations concerning dispensing antibiotics (with or without a prescription) in the west bank68 (44.7)31 (20.4)25 (16.4)17 (11.2)11 (7.2)
In the west bank, antibiotics are categorized under prescription drugs10 (6.6)19 (12.5)11 (7.2)37 (24.3)75 (49.3)

Self-perception of knowledge level
My knowledge regarding the pharmacological aspects of antibiotic therapy is appropriate4 (2.6)11 (7.2)28 (18.4)55 (36.2)54 (35.5)
My knowledge regarding bacterial resistance is appropriate2 (1.3)22 (14.5)47 (30.9)54 (35.5)27 (17.8)

aSD: strongly disagree. bD: disagree cSA: strongly agree. dA: agree.