This project explores the relationship between sociodemographic status and antibiotic use, practices and knowledge about the concept of antibiotic resistance among breastfeeding mothers. A pre-tested questionnaire was administered to breastfeeding mothers in six public hospitals in Kaduna state of Nigeria. Socio-demographic characteristics using univariate analysis were compared with antibiotic use, knowledge and practices. Multivariable logistic regression models were performed to know the potential predictors of a better knowledge and understanding about antibiotics resistance. A total of 321 breastfeeding mothers took part in the survey with 25.27% believing that antibiotics are used to treat fever, common cold, bacterial and viral infections and 43.7% declaring not having heard of the term before, 45.7% do not believe that antibiotics taken by the mother could affect the baby and 74.58% believe that antibiotics resistance is when their body becomes resistant to antibiotics. Multivariable models showed that the unemployed and those with lower levels of education are more prone to antibiotics misuse. This study demonstrates that breastfeeding mothers have a lack of adequate knowledge and understanding regarding the use of antibiotics and antibiotic resistance. Maternal misuse while breastfeeding could contribute to the development of antibiotic resistance, mainly in the intestinal microbiota in children.
Salihu Dadari, H. I. (2019). Antibiotics use, knowledge and practices on antibiotic resistance among breastfeeding mothers in Kaduna state (Nigeria). Journal of Infection and Public Health. https://doi.org/10.1016/j.jiph.2019.05.008