Work

A cross-sectional survey of knowledge, attitudes, and practices regarding antimicrobial resistance among Syrian health care professionals

Year: 2025

Type: article

Abstract: Objectives: Antimicrobial resistance (AMR) poses a global challenge, especially in conflict-affected settings such as Syria, where health care infrastructure is compromised. This study assessed Syrian clinicians' knowledge, attitudes, and practices regarding AMR and antimicrobial stewardship (AMS). Methods: A two-phase online survey was conducted from June-July to October-November 2024 among physicians, pharmacists, dentists, and nurses across 11 Syrian governorates. Participants were recruited through professional networks, social media, and snowball sampling. Results: Of 1179 respondents, 54% were male and 56% were residents (doctors in training); 32% had over 5 years' experience. Most practiced medicine (78%), pharmacy (13%), or dentistry (8%). Awareness of AMR as a global (98%), national (93%), and local (67%) issue was high. Although 90% supported AMS, only 47% rated their hospital's program as effective. Most desired more education (94%) and favored local guidelines (83%). Prescribing confidence was strong for routine cases (63%), but lower for complex ones (40-45%). Concerns included drug quality (80%), cost (52%), and ineffectiveness (47%). Notably, 39% struggled to withhold antibiotics in viral cases. Conclusion: The survey reveals strong AMR awareness but significant gaps in AMS practice, microbiology access, and clinical guidance. Strengthening Syria's national AMR strategy is urgently needed.

Source: IJID Regions

DOI: 10.1016/j.ijregi.2025.100789