ArticleCureus2025
Awareness of Antibiotic Resistance Among Medical Professionals in Kerala, India: A Cross-Sectional Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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Who cites it
2 citing papers in PubMed.
- Antimicrobial resistance awareness and associated factors among family physicians in Turkey: a national cross-sectional study.BMC primary care · 2026Article
- Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAntimicrobial resistance (AMR) has emerged as a critical global health threat, undermining the effective treatment of infectious diseases. The growing challenge of antibiotic resistance is a matter of concern, driven by frequent misuse of antimicrobial agents and limited awareness among healthcare professionals. This study aimed to assess the level of antibiotic resistance awareness across diverse medical professionals in Kerala, India, and to identify demographic and contextual influences that affect awareness and stewardship practices.
methodsA cross-sectional survey was conducted among 345 healthcare professionals, including doctors, dentists, nurses, and pharmacists across Kerala. Participants completed a validated 23-item Antibiotic Resistance Awareness Scale, supplemented with modules on demographics, formal training, and workplace factors. Data were analyzed to evaluate predictors of awareness scores.
resultsParticipants demonstrated moderate to high overall AMR awareness (mean score 73.9 ± 10.5), with the highest scores among physicians (75.8) and the lowest among nurses (69.7, p < 0.001). Significant disparities were observed by profession, training level, and practice setting. Only 23.5% reported formal AMR training, with pharmacists showing the highest training participation (44%). Males scored higher than females (mean difference 2.3, p=0.046), and practitioners in tertiary care had superior knowledge compared to those in primary care (mean difference 3.4, p=0.008). Training participation showed a positive but nonsignificant association with awareness (p=0.074).
conclusionsWhile overall awareness of antibiotic resistance among Kerala's healthcare professionals was good, substantial disparities exist, especially among nurses and those lacking formal AMR training. These findings underscore the urgent need for targeted educational programs, integrated stewardship curricula, and resource strengthening. Addressing these gaps is essential for successful AMR mitigation and for informing future policy and curricular reforms locally and in similar contexts globally.
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