Assessment of knowledge, attitudes, and practices about antibiotic resistance among medical students in India

J Family Med Prim Care. 2019 Sep 30;8(9):2864-2869. doi: 10.4103/jfmpc.jfmpc_504_19. eCollection 2019 Sep.

Abstract

Context: To reduce the magnitude of antimicrobial resistance, there is a need to strengthen the knowledge for future prescribers regarding use and prescription of antibiotics. Before that, it is required to have a conclusive evidence about knowledge, attitude, and practices of that group.

Aim: To assess the knowledge, attitudes, and the practices of medical students in India with respect to antibiotic resistance and usage.

Settings and design: It was a cross-sectional study which was done online through Google forms for a period of 4 months from July to October 2018.

Materials and methods: A structured questionnaire containing a five-point Likert scale was sent to medical students across India by sharing link through contacts of Medical Students Association of India. Respondent-driven sampling technique was also adopted for the study.

Statistical analysis used: Descriptive statistics, parametric (Chi-square), and nonparametric (Kruskal--Wallis and Mann--Whitney U) tests.

Results: A total of 474 responses were received from 103 medical colleges across 22 states of India. The mean score of knowledge was 4.36 ± 0.39. As compared to first year students, knowledge was significantly higher among students of all the years. As much as 83.3% students have consumed antibiotics in previous year of the survey. Around 45% of medical students accepted that they buy antibiotics without a medical prescription.

Conclusion: The knowledge level of medical students was quite satisfactory. As far as attitude and practices are concerned, there is a substantial need for improvements.

Keywords: Antibiotic resistance; knowledge; medical students; practices.