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Knowledge, attitudes, and practices of graduating medical and pharmacy students in Niger towards antibiotic use and antimicrobial resistance

Year: 2026

Type: article

Abstract: Background Antimicrobial resistance (AMR) is a global public health threat. Few studies have focused on healthcare professionals' knowledge, attitudes, and practices (KAP) regarding antibiotic use and AMR in Niger. This study assessed the KAP of graduating medical and pharmacy students regarding antibiotic use and AMR. Methods A cross-sectional study was conducted between October and December 2024 among graduating medical and pharmacy students. Descriptive analyses and logistic regression were performed using SPSS version 27.0. Results Of the 326 students who completed the questionnaire, 85.9% considered AMR a critical global problem, and 88.0% a significant national problem. Self-medication with antibiotics was recognized by 71.7% of students. Only 32.8% of participants were aware of the risks to human health associated with the use of antibiotics in agriculture and animal husbandry. Awareness of preventive measures such as hand hygiene (20.9%) and vaccination (16.3%) was low among students. Overall, 61.5% of students had a positive attitude towards antibiotic use, while 38.3% had good knowledge, and 27.0% had good practices regarding antibiotic use and AMR. Factors influencing antibiotic prescribing knowledge and practices included age, study type, training on antibiotic use, being a pharmacy student, and recent antibiotic use. Conclusion Students have limited knowledge and attitudes regarding antibiotic use and AMR. They also demonstrate a lack of awareness regarding preventive measures such as hand hygiene and vaccination. The findings highlight the need to strengthen educational programs for healthcare students on appropriate antibiotic use and to implement Antimicrobial Stewardship Programs in hospitals in Niger.

Source: Clinical Epidemiology and Global Health

DOI: 10.1016/j.cegh.2026.102501