Knowledge, Attitudes, and Practices Regarding Antibiotic Use and Antimicrobial Resistance among Students and Staff of Kabul University: A Cross-Sectional Study
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Abstract
Introduction: The overuse and misuse of antibiotics have led to rising antimicrobial resistance (AMR), a major global health concern. A primary driver of AMR is excessive and inappropriate antibiotic use, often stemming from insufficient public knowledge. This study aimed to assess the knowledge, attitudes, and practices (KAP) related to antibiotic use and AMR among students and staff at Kabul University. Methods: A validated questionnaire was administered to a sample of students, faculty, and administrative staff at Kabul University. Descriptive statistics were performed, and simple regression analysis identified factors associated with inappropriate antibiotic use. Result: A total of 689 participants were surveyed. More than half (84.8%) reported using antibiotics in the past year. Participants demonstrated moderate knowledge; 65.7% were aware of antibiotic resistance, yet 79.1% reported using antibiotics for colds and sore throats. Furthermore, 83.5% discontinued antibiotics after symptom resolution, 61.5% used antibiotics without a prescription, and 63.1% retained leftover antibiotics for future use. Conclusion: The findings indicate a moderate level of knowledge but widespread inappropriate practices regarding antibiotic use among Kabul University students and staff. These results underscore the urgent need for targeted educational interventions to promote responsible antibiotic use and combat antimicrobial resistance (AMR).
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