A cross-sectional study to evaluate the knowledge and attitude of medical students concerning antibiotic usage and antimicrobial resistance.

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Date: April-June 2021
Publisher: Medknow Publications and Media Pvt. Ltd.
Document Type: Report
Length: 3,356 words
Lexile Measure: 1790L

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Byline: Mohan. Sannathimmappa, Vinod. Nambiar, Rajeev. Aravindakshan

Introduction: Antimicrobial resistance (AMR) is a major global health problem, which is mainly promoted by injudicious antibiotic usage. The main strategy to control AMR is to emphasize the appropriate use of antibiotics, which can be achieved by creating awareness about AMR, changing the attitude of medical students who are the future prescribers. This study aimed to evaluate the knowledge and attitude of fifth-year medical students regarding antibiotic use and AMR. Materials and Methods: A descriptive cross-sectional study was conducted among 125 fifth-year medical students of the College of Medicine and Health Sciences, Sohar. A self-administered questionnaire was used to assess the knowledge and attitude regarding antibiotic use and AMR. The data were statistically analyzed and expressed as numbers and percentages. Results: Of 125 participants, the majority (>90%) were aware of AMR and its global impact. Nearly three in four knew that antibiotics are used to treat bacterial infection. However, most of the students had lacunae in their knowledge regarding contributing factors and consequences of AMR. A minority of students lack the right attitude toward rational antibiotic usage and adequate infection control practices. The majority of them were unaware of strict guidelines pertaining to judicious antibiotic usage and adequate infection control policies implemented in hospitals, as recommended by the World Health Organization. Conclusion: The results of our study reflect lacunae in students' knowledge regarding antibiotic usage and AMR. Therefore, there is a need for an implementation of effective medical curricula to improve medical students' knowledge regarding AMR and the appropriate use of antibiotics. The following core competencies are addressed in this article: Patient care, Medical knowledge, Professionalism, Systems-based practice, Practice-based learning and improvement, Interpersonal and communication skills.


Antimicrobial resistance (AMR) and ever-increasing infections are a serious threat to public health in the modern world, especially in developing countries with a considerable burden on patient's health, health-care system, and the global economy.[1],[2],[3],[4] The gradual increase in several multidrug-resistant bacterial strains in the last couple of decades poses a dreadful threat in treating infectious diseases and is associated with increased treatment failure, longer hospital stay, higher medical costs, increased mortality, and a higher risk of disease spread.[5],[6] A recent study reported that approximately 700,000 deaths are occurring annually due to infection with resistant pathogens and it would increase to 10 million annually by 2050 if it is not addressed urgently.[7] The development of AMR in microorganisms is a natural phenomenon.[1] However, it will be accelerated by many folds with the indiscriminate use of antibiotics in humans, animals, and agriculture due to selective pressure.[7],[8] Misuse or inappropriate prescription of antibiotics by the doctors is the major factor contributing to the development and spread of resistant pathogens.[1],[9] There are multiple factors that influence the inappropriate use of antibiotics by doctors such as inability to differentiate between viral and bacterial infections, fear of possible associated complications of infection in patients, patients' demand for antibiotics, and pressure and incentives by pharmaceutical companies.[2] Poor infection control practices, substandard medicines, easy...

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Gale Document Number: GALE|A667611414