Published: 2018-05-25

Knowledge, attitude and practices of antibiotic usage among students from Mumbai University

Dnyanesh Limaye, Sanika Naware, Priyanka Bare, Shreya Dalvi, Ketaki Dhurve, Arlan Sydymanov, Vaidehi Limaye, Ravi Shankar Pitani, Zeinab Kanso, Gerhard Fortwengel


Background: Discovery of antibiotics have helped to manage the devastating diseases. Presently, the antibiotic era is threatened by the emergence of high level of antibiotic resistance of important pathogens. Misuse of antibiotics poses a serious risk to infectious disease control. It is necessary to improve public awareness to bring a change in the behavior of consumers. Therefore, present study was undertaken to assess the existing knowledge, attitude and practices related to antibiotic usage among university students.

Methods: A cross-sectional study was carried out among students from Mumbai University, India during May-June 2017. 300 students were approached to participate in the study of which 250 agreed to participate (males: 117; females: 133). Pretested questionnaire was distributed and collected data was analyzed using IBM SPSS version 23.

Results: Substantial number (33% and 40%) participants were unaware about the differences in antibiotic-anti-inflammatory drugs and antibiotic-antipyretics respectively. 28% of the participants thought it is right to stop antibiotics only based on symptoms improvement. Sixty eight percent and seventy nine percent participants believed that antibiotics should always be prescribed to treat flu like symptoms and pneumonia respectively.

Conclusions: Participants demonstrated poor knowledge about antibiotics. Similarly, their attitude and practice toward antibiotic use was associated with misconceptions. An educational intervention can be introduced to make them aware about rational antibiotic practices.


Antibiotic, Antibiotic resistance, Rational drug use, University students

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Nordberg P, Monnet D, Cars O. Antibacterial drug resistance. WHO. 2005. Available at: (last accessed on 2nd April 2018)

Gard R. Tackling Antimicrobial Resistance: Optimizing Use of an Older Antibiotic-Amoxicillin. Indian J of Cli Practi. 2014;24(9):843-5.

Cars O, Nordberg P. Antibiotic resistance-the faceless threat. International J Risk and Safety in Medicine. 2005;17:103-10.

Appelbaum P. 2012 and beyond: Potential for the start of a second pre-antibiotic era? J Antimicrob Chemother. 2012;67:2062-8.

Lee CR, Cho IH, Jeong BC, Lee SH. Strategies to minimize antibiotic resistance. International J of environmental research and public health. 2013 Sep 12;10(9):4274-305.

Abimbola I. Knowledge and practices in the use of antibiotics among a group of Nigerian university students. Int J Infect Control. 2013;9(1).

Horvat OJ, Tomas AD, Kusturica MM, Savkov AV, Bukumirić DU, Tomić ZS, et al. Is the level of knowledge a predictor of rational antibiotic use in Serbia?. PloS one. 2017 Jul 10;12(7):e0180799.

Sharma S, Jayakumar D, Palappallil DS, Kesavan KP. Knowledge, attitude and practices of antibiotic usage and resistance among the second year MBBS Students. Int J of Bas & Cli Pharmaco. 2016;5(3):899-903.

Shehadeh M, Suaifan G, Darwish R, Wazaify M, Zaru L, Fari S. Knowledge, attitudes and behavior regarding antibiotics use and misuse among adults in the community of Jordan. A pilot study. Sau Pharmac J. 2012;20(2):125-33.

Combating Antibiotic Resistance. USFDA. Available at: (last accessed on 2nd April 2018)

Jozala A, Fiol F. Antimicrobial approaches against bacterial pathogens which cause lower respiratory system infections. The Microbiology of Respiratory System Infections. 2016;5:211-22.