Knowledge Attitude and Practice Regarding Antibiotic Abuse Among Students at Pamo University of Medical Sciences in Rivers State, Nigeria
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Abstract
Background: Antibiotic abuse is a global burden, which has led to a plethora of difficulties; including increased emergence of acquired multi drug resistance hence this study which assessed the knowledge, attitude, practices and prevalence of antibiotics abuse among medical students at Pamo University, Oyigbo, Port Harcourt.
Materials and methods: The study was conducted in Oyigbo, Rivers State. A cross-sectional study design was adopted; multi-stage sampling technique was used to select 413 eligible participants for this study. Data was collected using a semi-structured questionnaire and analyzed using IBM Statistical Package for Service Solutions version 27.0.
Results: The mean age of participants were 18±1.9 years, and mainly from the department of medicine and surgery 331(80.1%). Three hundred and thirty-Six (81.4%) of participants had good knowledge of antibiotic abuse, 273(66.1%) of participants had a good attitude towards antibiotic abuse. However, 279 (67.6%) participants had poor practices regarding antibiotic abuse. Findings from this study showed a very high prevalence of antibiotic abuse recorded as 400 (96.5%). Participant’s department was associated with level of knowledge on antibiotic abuse (χ² = 3.844; p ≤ 0.050) and Age was associated with the attitude towards antibiotic abuse (ꭓ2 =6.581; p≤ 0.037).
Conclusion: More than half of the participants had a good knowledge and attitude regarding antibiotic abuse, but most exhibited poor antibiotic use practices. To prevent the grave consequences of antibiotic abuse, we encourage health promotion activities to adopt good antimicrobial stewardship practices, including promoting the completion of full antibiotic courses as prescribed.
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References
1. Antibiotics [Internet]. National Library of Medicine; [cited 2025 Nov 26]. Available from: https://medlineplus.gov/antibiotics.html
2. Akande-Sholabi W, Ajamu AT. Antimicrobial stewardship: Assessment of knowledge, awareness of antimicrobial resistance and appropriate antibiotic use among healthcare students in a Nigerian University. BMC Med Educ. 2021 Sept 10;21(1):1–8.
3. World Health Organization. World Health Organization, 2024 [Internet]. 2024 [cited 2025 June 6]. Available from: https://www.who.int/campaigns/world-amr-awareness-week
4. Salam MdA, Al-Amin MdY, Salam MT, Pawar JS, Akhter N, Rabaan AA, et al. Antimicrobial Resistance: A Growing Serious Threat for Global Public Health. Healthcare. 2023 July 5;11(13):1946.
5. Sanya T, Titilayo O, Adisa R, Segun J. Use of antibiotics among non-medical students in a Nigerian university. Afr Health Sci. 2013 Dec;13(4):1149–55.
6. ResearchGate [Internet]. [cited 2025 Nov 26]. Plasmid Profile Analysis of Multidrug Resistant Pseudomonas aeruginosa Isolated from Wound Infections in South West, Nigeria. Available from: https://www.researchgate.net/publication/235564510_Plasmid_Profile_Analysis_of_Multidrug_ResistantPseudomonas_aeruginosaIsolated_from_Wound_Infections_in_South_West_Nigeria
7. Alex IO. Knowledge of antibiotic use and resistance among students of a medical school in Nigeria. Malawi Med J. 2019 June 27;31(2):133–7.
8. Sharma S, Chauhan A, Ranjan A, Mathkor DM, Haque S, Ramniwas S, et al. Frontiers | Emerging challenges in antimicrobial resistance: implications for pathogenic microorganisms, novel antibiotics, and their impact on sustainability. [cited 2025 Nov 26]; Available from: https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2024.1403168/full
9. Akingbade OA, Balogun SA, Ojo DA, Afolabi RO, Motayo BO, Okerentugba PO, et al. Plasmid Profile Analysis of Multidrug Resistant Pseudomonas aeruginosa Isolated from Wound Infections in South West, Nigeria. World Appl Sci J. 2012;20(6):766=775.
10. Enechukwu OH, Saka MJ. Perception of antibiotic misuse and awareness of antibiotic resistance among adults in delta state Nigeria. Discov Public Health. 2024 Oct 8;21(1):1–12.
11. Asogwa I, Offor S, Mbagwu H. Knowledge, Attitude and Practice towards Antibiotics Use among Non-medical University Students in Uyo, Nigeria. J Adv Med Pharm Sci. 2017 Jan 10;15(1):1–11.
12. Raihan MA, Islam MS, Islam S, Islam AFMM, Ahmed KT, Ahmed T, et al. Knowledge, attitudes, and practices regarding antibiotic use in Bangladesh: Findings from a cross-sectional study. PLOS ONE. 2024 Feb 12;19(2):e0297653.
13. Zajmi D, Berisha M, Begolli I, Hoxha R, Mehmeti R, Mulliqi-Osmani G, et al. Public knowledge, attitudes and practices regarding antibiotic use in Kosovo. Pharm Pract Granada. 2017;15(1):827.
14. Bello SI, Aliiyu FO, Yusuf H, Aliyu BJ. Evaluation of knowledge, attitudes and practices of human healthcare students about antimicrobial drug use and resistance: a cross-sectional study in University of Maiduguri, Nigeria. J Pharm Bioresour. 2021 Dec 5;18(3):182–91.
15. Siam MdHB, Imran A, Limon MdBH, Zahid MH, Hossain MdA, Siddique MA, et al. Antibiotic Abuse: A Cross-Sectional Study on Knowledge, Attitude, and Behavior Among the University Students in Dhaka, Bangladesh. Electron J Gen Med. 2021 Apr 15;18(3):em289.
16. Osagiede EF, Omoregbe I. Assessment of Knowledge and Practice of Self-Medication in a Nigerian University: Implication for Policy Action in Curbing the Increasing Practices of Self-Medication among Nigerian Undergraduates. 2020 [cited 2025 Sept 11]; Available from: https://www.academia.edu/58501852/Assessment_of_Knowledge_and_Practice_of_Self_Medication_in_a_Nigerian_University_Implication_for_Policy_Action_in_Curbing_the_Increasing_Practices_of_Self_Medication_among_Nigerian_Undergraduates
17. Popoola OO, Adepitan DS, Adeyemi AS, Oladeru OF, Yusuff SI. A national survey of the antibiotic use, self-medication practices, and knowledge of antibiotic resistance among graduates of tertiary institutions in Nigeria. Sci Afr. 2024 Mar 1;23:e01978.
18. Chukwu EE, Oladele DA, Awoderu OB, Afocha EE, Lawal RG, Abdus-salam I, et al. A national survey of public awareness of antimicrobial resistance in Nigeria. Antimicrob Resist Infect Control. 2020 May 20;9(1):72.
19. Ilori T, Abiodun A, Ilesanmi O. Self-medication practices and barriers to accessing formal healthcare among undergraduate students in a Nigerian University. Afr J Med Med Sci. 2021;50:425–34.
20. Fadare JO, Tamuno I. Antibiotic self-medication among university medical undergraduates in Northern Nigeria. 2011;217–20.
21. Narmen M, Nicola O, Adolfo F, Bahi T. Education level and misuse of antibiotics in the general population: a systematic review and dose–response meta-analysis | Antimicrobial Resistance & Infection Control [Internet]. [cited 2025 June 6]. Available from: https://link.springer.com/article/10.1186/s13756-022-01063-5
22. Wonodi W, West BA. Pre-hospital Antibiotic Use in the Rivers State University Teaching Hospital Paediatric Outpatient Clinic. Int J Trop Dis Health. 2024 Sept 4;45(9):45–53.
23. Ayepola OO, Onile-ere OA, Shodeko OE, Akinsiku FA, Ani PE, Egwari LO. Knowledge, Attitude and Pattern of Antibiotic Usage among Students of a Nigerian University. J Microbiol Infect Dis. 2019 Mar 15;09(01):10–5.