Published: 2019-06-24

Study on knowledge, attitude and practices with respect to antibiotic use among medical students

Bhavika D., A. Naga Teja Pavani, G. Meghavani, Aditya Jillella, Sameer Uz Zaman


Background: Antibiotic resistance has emerged as a serious global problem. Irrational prescribing of antibiotics is one of the key factors responsible for the development of antibiotic resistance. As today’s medical students will be the future prescribers their awareness regarding antibiotic resistance and rational prescribing of antibiotics is very much important. The main objective of the study was to evaluate the knowledge, attitude and practices of the medical students towards antibiotic use.

Methods: A cross-sectional questionnaire-based study was conducted involving the medical students from all the semesters. A predesigned questionnaire was used to evaluate the knowledge, attitude and practices of the respondents. The response options were ‘yes’ or ‘no’ for some questions, and a 5 point Likert scale used to assess some questions. The data was analyzed using MS office Excel.

Results: A total of 457 fully completed questionnaires from the respondents were evaluated. Majority of the respondents (70%) were females, and 91% of the respondents were aware of antibiotic resistance as a global problem. On analysis of score of questions assessing knowledge, 91% of respondents had attained a score in the range of 5-7. Majority (83%) of the respondents used antibiotics only on doctor’s prescription and 74% of the respondents had completed the prescribed course.

Conclusions: The present study gives an insight on the knowledge, attitude and practices of medical students on antibiotic use, and can be used as a tool to plan educational strategies to improve the knowledge of the students regarding rational use of antibiotics.


Antibiotic use, Antibiotic resistance, Attitude, Knowledge, Medical students

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Ventola CL. The antibiotic resistance crisis: part 1: causes and threats. Phar Therap. 2015;40(4):277.

Yanhong Hu, Wang X. Knowledge, attitude, and practice with respect to antibiotic use among chinese medical students: A multicentre cross-sectional study. Int J Environ Res. Public Health. 2018;15(6):1165.

Dyar OJ, Ce´line Pulcini C. European medical students: a first multicentre study of knowledge, attitudes and perceptions of antibiotic prescribing and antibiotic resistance. J Antimicrob Chemother 2013;69(3):842-6.

Lv B, Zhou Z, Xu G, Yang D, Wu L, Shen Q, et al. Knowledge, attitudes and practices concerning self-medication with antibiotics among university students in western China. Trop Med Int Health. 2014;19(7):769-79.

Mukharjee SK, Mahmud I, Akter S, Hossain S. Knowledge, attitudes and practices regarding antibiotic use among the students of microbiology department at Noakhali science and technology university, Bangladesh. J Drug Delive Therap. 2017;7(4):34-7.

Tevatia S, Chaudhry S. A questionnaire based survey on knowledge, attitude and practice of antibiotics among dental and paramedical students: a cross sectional survey. World J Phar Pharmaceu Sci. 2016;5(5):1205-6.

Khan A, 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. J Clin Diag Res. 2013;7(8):1613-6.

Padmanabha TS, Nandini T, Manu G, Madhav K. Savkar, Shankar RM. Knowledge, attitude and practices of antibiotic usage among the medical undergraduates of a tertiary care teaching hospital: an observational cross-sectional study. Int J Basic Clin Pharmacol. 2016;5(6):2432-37.

Zafar SN, Syed R, Waqar S, Zubairi AJ, Vaqar T, Shaikh M et al. Self-medication amongst university students of Karachi: prevalence, knowledge and attitudes. J Pakistan Med Asso. 2008,58(4):214-7.

Lee CR, Lee JH, Kang LW, Jeong BC, Lee SH. Educational Effectiveness, Target, and Content forPrudent Antibiotic Use. Bio Res Int. 2015;8:1-13.