Antimicrobial use and resistance: An assessment of tertiary institution students' knowledge, attitude, and practices in North Central Nigeria

Main Article Content

Mercy I. Aboh
Ibukunle A. Jegede
Obi P Adigwe
Peters O. Oladosu


Background: Antimicrobial Resistance (AMR) is a global health and development treat that requires urgent multisectoral action in order to achieve Sustainable Development Goals (SDGs). The menace of antimicrobial resistance has however only just become a significant public health issue in recent times due to a combination of the use patterns of antimicrobial agents and the rate of development of new, effective and unique antimicrobial agents. There is therefore need to ensure that efforts are made
to determine and improve the knowledge, attitude and practices about AMR among students in the country towards improved health outcomes.

Methods: A cross-sectional study was conducted among one thousand and twenty-four (1024) undergraduate and postgraduate students through administration of either electronic questionnaires (via a link to Google forms) or hard copy of the questionnaires depending on their choices. The data was then analyzed by descriptive analysis using one-way analysis of varianceANOVA.

Results: Percentages of fully correct answers was between 18.0 – 83.0 % regarding knowledge to antibiotic use and resistance. The response on practice revealed that self-medication by the respondents was observed in 47.7 % while 60.2 % discontinued the antimicrobial medication as soon as they felt better.

Conclusion: Most of the participants had fair knowledge on antimicrobial resistance however showed
poor attitude and practice towards drug use.

Article Details

How to Cite
Aboh, M. I., Jegede, I. A. ., Adigwe, O. P. ., & Oladosu, P. O. (2022). Antimicrobial use and resistance: An assessment of tertiary institution students’ knowledge, attitude, and practices in North Central Nigeria: The Nigerian Journal of Pharmacy, 56(2). Retrieved from


Ayukekbong JA, Ntemgwa M, Atabe AN. (2017): The threat of antimicrobial resistance in developing countries: causes and control

strategies.Antimicrobial Resistance and Infection Control. 6(47): 1 - 6 .

O'Neill J. (2014): Review on antimicrobial resistance. Antimicrobial resistance: Tackling a crisis for the health and wealth of nations. Available in line at: (accessed September 02, 2022).

Nahar P, Unicomb L, P Lucas PJ, Uddin MR , Islam MA , Nizame FA , Khisa N , Akter S, Rousham EK. (2020): hat contributes to

inappropriate antibiotic dispensing among qualified and unqualified healthcare providers in Bangladesh? A qualitative study. BMC Health

Services Research. 20: 656 .

Yapi RB. Houngbedji CA, N'Guessan DKG, Dindé AO, Sanhoun AR, Amin A, Gboko KDT, Heitz-Tokpa K., Fokou G, Bonfoh B. (2021):

Knowledge, attitudes, and practices (KAP) regarding the COVID-19 outbreak in Côte d'Ivoire: Understanding the non-compliance of populations with non-pharmaceutica l interventions. Int. J. Environ. Res. Public Health. 18:47 - 57 . . 3 3 90 / ijerph18094757.

World Health Organization(WHO) . Antimicrobial resistance. In: Facts sheet [Internet]. 2022 [cited 02 Sep 2022]. Available: / f a c t - sheets/detail/antimicrobial-resistance.

Iwu-Jaja CJ, Jaca A, Jaja IF, Jordan P, Bhengu P, Iwu CD, et al. (2021) Preventing and managing antimicrobial resistance in the African region: A scoping review protocol. PLoS ONE 16(7): e0254737.

Van TTH, Yidana Z, Smooker PM, Coloe PJ. (2019):Antibiotic use in food animals worldwide,with a focus onAfrica: Pluses and minuses. J Glob A n t i m i c r o b R e s i s t . 2 0 : 1 7 0 – 1 7 7 . jgar.2019.07.031PMID: 31401170.

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

Khajuria K., Sharminder K., Shamiya S. and Vijay K. (2019): Int J Basic Clin Pharmacol., 8(1):68- 73.

Sakr S, Ghaddar A, Hamam B, Sheet I. (2020): Antibiotic use and resistance: An unprecedented assessment of university students' knowledge, attitude and practices (KAP) in Lebanon. BMC P u b l i c H e a l t h . 2 0 : 5 3 5 - 5 4 3 .

Scaioli G, Gualano MR, Gili R, Masucci S, Bert F, Siliquini R (2015): Antibiotic use: a crosssectional survey assessing the knowledge,attitudes and Practices amongst Students of a School of Medicine in Italy. PLoS One. 10(4):e0122476.

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

Suaifan GA, Shehadeh M, Darwish DA, Al-Ije H,Yousef AM, Darwish RM (2012): A crosssectional study on knowledge, attitude and

behavior related to antibiotic use and resistance among medical and non-medical university students in Jordan. Afr J Pharmacy Pharmacol. 15;6(10):763-70.

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