A comparative study to assess the awareness of antibiotic resistance amongst first and second year medical undergraduate students in a medical college


  • Bharath Kumar V. D. Department of Pharmacology, BGS Global Institute of Medical Sciences, Bangalore, Karnataka, India
  • Kalpana L. Department of Pharmacology, BGS Global Institute of Medical Sciences, Bangalore, Karnataka, India




Antibiotic resistance, Awareness, Antibiotics, Medical undergraduates, Medical education


Background: With the rising instances of antibiotic resistance and decline in the discovery of newer antibiotics, it is high time to prevent the emergence of antibiotic resistance. One of the best measures regarding the above problem is education and creating awareness regarding antibiotic resistance, and that too primarily among healthcare professionals. The initiation should start at the basic level and that too in the early days of medical profession, so that there is greater awareness and strong foundation for antibiotic prescribing pattern. The present study is taken up to compare awareness among 1st year and 2nd year medical students in a private medical college with 2nd year medical students having prior education regarding antibiotics resistance and first year students representing general public without any education regarding antibiotics resistance.

Methods: This study was a comparative, cross-sectional, questionnaire based study. The questionnaire was validated for face validity and content validity from subject experts. The two groups selected were 1st year and 2nd year medical undergraduates. Data was analysed using simple descriptive statistics.

Results: 136 students from 1st year and 88 students from 2nd year participated in the study. In both the groups studied, majority of the respondents completed the full course of antibiotics. 77% of 1st year and all 2nd year students were aware of the antibiotic resistance. 99% of 2nd year students and only 49% of the 1st year students were aware of the reasons for it (p<0.01). Awareness regarding prophylactic usage of antibiotics, usage for simple common cold and usage of higher antibiotics for mid infection leading to Antibiotic Resistance was significantly less among first year students. 2nd year students were well aware of consequences of antibiotic resistance like ineffective treatment, prolongation of illness, emergence of bacterial resistance and additional cost burden than 1st year students. Awareness regarding other aspects of antibiotic resistance was not significant between two groups.

Conclusions: Stressing upon awareness and education regarding antibiotic resistance in the early days of medical curriculum will help in change of behaviour and habits of antibiotic usage and rational prescribing of antibiotics by the future doctors.



Huang Y, Gu J, Zhang M, Ren Z, Yang W, Chen Y, et al. Knowledge, attitude and practice of antibiotics: a questionnaire study among 2500 Chinese students. BMC Medical Education. 2013;13:163.

Aggarwal S, Mathew J, Singh H, Sharma V. Attitude and perception of junior resident doctors’ regarding antibiotic resistance - A pilot study. J Acute Dis. 2014:6-9.

Antimicrobial resistance: Global Report on surveillance, WHO; 2014. Available at: http://apps.who.int/iris/bitstream/10665/112642/1/9789241564748_eng.pdf. Accessed 8 November 2016.

Jamshed SQ, Elkami R, Rajiah K, Al-Shami AK, Shamsudin SH, Siddiqui MJ, et al. Understanding of antibiotic use and resistance among final-year pharmacy and medical students: a pilot study. J Infect Dev Ctries. 2014;8(6):780-5.

Azevedo MM, Capela C, Baltazar F. Bacterial antibiotic resistance: role of health education in formal and non-formal contexts. Microbial pathogens and strategies for combating them, science, technology and education (A. Méndez-Vilas, Ed.). 2013:1542-1547.

Abbo LM, Cosgrove SE, Pottinger PS, Pereyra M, Sinkowitz-Cochran R, Srinivasan A, et al. Medical students’ perceptions and knowledge about antimicrobial stewardship: how are we educating our future prescribers?. Clin Infect Dis. 2013 May 31;57(5):631-8.

Khan AK, Banu G, Reshma KK. Antibiotic resistance and usage- a survey on the knowledge, attitude, perceptions and practices among the medical students of a Southern Indian teaching hospital. JCDR. 2013 Aug;7(8):1613.

Scaioli G, Gualano MR, Gili R, Masucci S, Bert F, Siliquini R. Antibiotic Use: A Cross-Sectional Survey Assessing the Knowledge, Attitudes and Practices amongst Students of a School of Medicine in Italy. PLoS ONE. 2015;10(4):e0122476.

Dyar OJ, Pulcini C, Howard P, Nathwani D. European medical students: a first multicentre study of knowledge, attitudes and perceptions of antibiotic prescribing and antibiotic resistance. JAC. Mar 2014;69(3):842.

Azevedo MM, Pinheiro C, Yaphe J, Baltazar F. Portuguese students’ knowledge of antibiotics: a cross-sectional study of secondary school and university students in Braga. BMC Public Health. 2009;9:359.

Davey P, Garner S. Professional education on antimicrobial prescribing: a report from the Specialist Advisory Committee on Antimicrobial Resistance (SACAR) Professional Education Subgroup. Journal of Antimicrobial Chemotherapy. 2007;60(1):i27-i32.




How to Cite

V. D., B. K., & L., K. (2018). A comparative study to assess the awareness of antibiotic resistance amongst first and second year medical undergraduate students in a medical college. International Journal of Basic & Clinical Pharmacology, 7(8), 1567–1571. https://doi.org/10.18203/2319-2003.ijbcp20183025



Original Research Articles