Browsing by Author "Harun, Md. Golam Dostogir"

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Antibiotic Use in Tertiary Care Hospitals in Bangladesh Revealing the Extent Through a Point Prevalence Survey
(Elsevier, 2024-09-15) Sumon, Shariful Amin; Sarker, Supta; Chowdhury, A.B.M. Alauddin; Hassan, Syed Abul; Abdullah, Md.; Shahjahan, Md.; Sharmin, Sabrina; Harun, Md. Golam Dostogir
"Background Prevalent use of antibiotics in hospitals results in antimicrobial resistance (AMR), rising mortality, and substantial financial burden. This study assessed the current pattern of antibiotic use among inpatients in tertiary hospitals in Bangladesh. Methods Between August and November 2022, we conducted a point prevalence survey in 4 tertiary hospitals in Dhaka, Bangladesh. The World Health Organization-directed point prevalence survey methodology and tools were followed for the data collection. Descriptive and multivariate statistics were performed using Stata version 15. Results Of 1,063 hospitalized patients, antibiotics were prescribed to 73.5% (781/1063, 95% confidence interval: 70.8-76.1) of patients. A total of 1,164 antibiotics were prescribed, and 49.1% of patients consumed multiple antibiotics. Only 31.4% of patients were prescribed antibiotics based on microbiology results. The reasons for antibiotic prescribing were mentioned only in 19.3% of patients. Infants (adjusted odds ratio: 8.52, P-value: <.001) and neonates (adjusted odds ratio: 4.32, P-value: <.001) were more likely to consume antibiotics compared to adults. Cephalosporins accounted for the majority (54.0%) of antibiotics used in hospitals. None of the hospitals had any antibiotic use guidelines. Conclusions Consumption of Watch group antibiotics empirically among all age groups demonstrates irrational antibiotic usage in Bangladeshi hospitals. Implementation of a tailored stewardship program, antibiotic use guidelines, and prescriber-patient awareness could improve the rational use of antibiotics."
Drug Addiction and Substance Use among the Dalit Married Adolescent Girls in Bangladesh
(Scopus, 2021) Haque, Md. Imdadul; Rani, Varoti; Chowdhury, ABM Alauddin; Akter, Tasnim; Hasan, Istiaque; Harun, Md. Golam Dostogir; Ullah, Abu Naser Zafar
Dalits are referred to “shattered,” “outcasts,” and socially marginalized community in Bangladesh. In particular, Dalit adolescent girls are the most vulnerable owing to their caste and gender. Prior studies have looked at the prevalence and effects of drug addiction among the youths in mainstream population, but the Dalit adolescents were excluded from the samples. The study aimed to investigate the prevalence of drug addiction and substance use among the Dalit married adolescent girls (MAGs), and to identify the significant predictors associated with this addiction. A cross-sectional survey was carried out among 300 MAGs in the Dalit community. Involving systematic random sampling, participants were selected from both urban and rural settings located in Dhaka and Gaibandha districts. Bivariate and multivariate logistic regressions were performed to explore the significant factors associated with drug addiction. The prevalence of drug addiction was 11.3% among married Dalit adolescent girls. Multivariate analysis identified that participants’ habit of smoking (AOR=5.210, 95% CI=2.413–11.250), participant’s husband’s habit of smoking (AOR=10.415, 95% CI=3.911–27.739), and habit of using alcohol/highly risky substances (AOR=19.030, 95% CI=6.481–55.875) were significant associated with drug addiction. An alarming proportion of Dalit adolescent girls were recorded to be habituated in various forms of drugs use. Therefore, immediate policy measures focusing intensive campaigns, targeted counseling, and health education programs need to design to get over the risky health behaviors.
Drug Addiction and Substance Use Among the Dalit Married Adolescent Girls in Bangladesh
(Daffodil International University, 21-08-24) Haque, Md. Imdadul; Rani, Varoti; Chowdhury, ABM Alauddin; Akter, Tasnim; Hasan, Istiaque; Harun, Md. Golam Dostogir; Ullah, Abu Naser Zafar
Dalits are referred to “shattered,” “outcasts,” and socially marginalized community in Bangladesh. In particular, Dalit adolescent girls are the most vulnerable owing to their caste and gender. Prior studies have looked at the prevalence and effects of drug addiction among the youths in mainstream population, but the Dalit adolescents were excluded from the samples. The study aimed to investigate the prevalence of drug addiction and substance use among the Dalit married adolescent girls (MAGs), and to identify the significant predictors associated with this addiction. A cross-sectional survey was carried out among 300 MAGs in the Dalit community. Involving systematic random sampling, participants were selected from both urban and rural settings located in Dhaka and Gaibandha districts. Bivariate and multivariate logistic regressions were performed to explore the significant factors associated with drug addiction. The prevalence of drug addiction was 11.3% among married Dalit adolescent girls. Multivariate analysis identified that participants’ habit of smoking (AOR=5.210, 95% CI=2.413–11.250), participant’s husband’s habit of smoking (AOR=10.415, 95% CI=3.911–27.739), and habit of using alcohol/highly risky substances (AOR=19.030, 95% CI=6.481–55.875) were significant associated with drug addiction. An alarming proportion of Dalit adolescent girls were recorded to be habituated in various forms of drugs use. Therefore, immediate policy measures focusing intensive campaigns, targeted counseling, and health education programs need to design to get over the risky health behaviors.
Pre-COVID-19 Knowledge, Attitude and Practice Among Nurses Towards Infection Prevention and Control in Bangladesh: A Hospital-Based Cross-Sectional Survey
(Scopus, 22-12-01) Harun, Md. Golam Dostogir; Anwar, Md Mahabub Ul; Sumon, Shariful Amin; Abdullah-Al-Kafi, Md; Datta, Kusum; Haque, Md. Imdadul; Chowdhury, A. B. M. Alauddin; Sharmin, Sabrina; Islam, Md Saiful
Introduction Hospital-acquired infections endanger millions of lives around the world, and nurses play a vital role in the prevention of these infections. Knowledge of infection prevention and control (IPC) best practices among nurses is a prerequisite to maintaining standard precautions for the safety of patients. Aim The study aims to assess knowledge, attitudes, and practices (KAP) towards IPC including associated factors among the nurses of a tertiary care hospital in Bangladesh. Methods We conducted this hospital-based cross-sectional study from October 2017 to June 2018 at Dhaka Medical College Hospital among 300 nurses working in all departments. We calculated three KAP scores for each participant reflecting their current state of knowledge and compliance towards IPC measures. Descriptive, bivariate and multivariable analyses were conducted to determine KAP scores among nurses and their associated factors. Results Average scores for knowledge, attitudes, and practices were 18.6, 5.4, and 15.5 (out of 26, 7, and 24), respectively. The study revealed that the majority (85.2%) of the nurses had a good to moderate level of knowledge, half (51%) of them showed positive attitudes, and only one fifth (17.1%) of the nurses displayed good practices in IPC. The respondents’ age, education, monthly income and years of experience were found to have statistical associations with having moderate to adequate level of KAP scores. Aged and experienced nurses were found more likely to have poor knowledge and unfavorable attitude toward IPC practices. Conclusion The majority of nurses had good IPC knowledge, but their practices did not reflect that knowledge. In particular, nurses needed to improve the proper IPC practice for better patient care and to protect themselves. Regular IPC training and practice monitoring can enhance the IPC practice among nurses.
Predictors of Parental Knowledge of Tobacco Effects on Health and Parental Perceptions on Tobacco Control Measures at Household Level in Selected Urban Residential Areas of Dhaka City, Bangladesh
(Scopus, 2021) Haque, Md. Imdadul; Islam, Md. Rabiul; Hasan, Md. Zobaer; Ali, Md. Mokter; Kabir, Russell; Harun, Md. Golam Dostogir
The study aimed to investigate parental knowledge of tobacco effects on health and parental perceptions on tobacco control measures at households in Dhaka city, Bangladesh. Out of 1436 tobacco-using parents, a total of 400 participants were selected for the cross-sectional survey using a multi-stage probability sampling. Overall knowledge and perceptions of parents were scored. Simple and multiple logistic regressions were performed. There were 19.8% of parents who had good knowledge about health effects of tobacco and 40.8% had positive perception on home initiatives of tobacco control measures respectively. The study revealed that knowledge of overall tobacco effects on health (AOR = 20.92, 95% CI = 2.60–167.83), asthma (AOR = 0.29, 95% CI = 0.17–0.49), infertility (AOR = 0.43, 95% CI = 0.24–0.77) and pre-eclampsia (AOR = 0.36, 95% CI = 0.14–0.90) were significantly increased the odds of parents good knowledge. Whereas parental perceptions indicate that living in the joint family was positively associated with controlling tobacco use (AOR = 3.10, 95% CI = 1.88–5.13). It suggests that health education programs need to be developed to improve parental awareness on the adverse health effects of tobacco use at households.
Prevailing Familial, Social and Cultural Obstacles in Keeping Tobacco-free Homes in Urban Areas of Bangladesh
(PLoS ONE, 2019-08-12) Haque, Md. Imdadul; Chowdhury, ABM Alauddin; Hassan, Muhammad Shaikh; Khan, Hafiz T. A.; Harun, Md. Golam Dostogir
Background Millions of children and others across the world are being dangerously exposed to tobacco smoke and toxins in their own homes. Whilst there is limited interest in laws and interventions controlling tobacco use in public places in Bangladesh, no attention has been given to preventing tobacco-use inside homes. This study explores the familial and socio-cultural factors that provide obstacles for ensuring tobacco-free homes in Bangladesh. Materials and methods A mixed-method design was adopted and from among the 1,436 tobacco users identified in a population of 11,853, 400 (tobacco users) were selected for cross-sectional survey. This survey involved a probability proportional sampling procedure, and 24 In-Depth Interviews. Multivariate logistic regression was performed to explore the association of familial and socio-cultural factors with tobacco-use at home adjusted by other demographic characteristics. Thematic content analysis was done on the qualitative data, and then inferences were drawn out collectively. Results This study revealed that the prevalence of tobacco-use in the home was 25.7% in urban residential areas in Bangladesh. Multivariate logistic regression analysis identified that familial and socio-cultural factors were significantly associated with tobacco-use at home: marital status (OR 3.23, 95% CI: 1.37–6.61), education (OR 2.14, 95% CI: 1.15–3.99), smoking habits of older family members (OR 1.81 95% CI: 0.91–2.89), tobacco being offered as hospitality and for entertainment (OR 1.85, 95% CI: .94–2.95) and lack of religiosity practice (OR 2.39, 95% CI: 1.27–4.54). Qualitative findings indicated that social customs, lack of religious practice, tobacco-use of older family members, and lack of family guidance were key obstacles for enabling tobacco-free homes in urban areas. Conclusion Use of tobacco at home is continuing as part of established familial and socio-cultural traditions. If tobacco-use at home is not addressed seriously by the authorities then the emerging threat of second-hand smoke exposure and harmful consequences of tobacco- use will be exacerbated.