Evidence map›Paper›PMID 41463686›Full record

ArticleAntibiotics (Basel, Switzerland)2025

Knowledge, Attitudes, and Practices of Antibiotic Use and AMR in Low-Income Urban Delhi, India: A Community-Based Cross-Sectional Study.

Shivani Rao, Saurav Basu, Srishty Rajaura, Mrunali Zode, Mongjam Meghachandra Singh, Nandini Sharma

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Shivani RaoDepartment of Community Medicine, Maulana Azad Medical College, New Delhi 110002, India.
Saurav BasuDepartment of Community Medicine, ESI-PGIMSR, ESIC Medical College, Joka, Kolkata 700104, India.
Srishty RajauraDepartment of Community Medicine, Maulana Azad Medical College, New Delhi 110002, India.
Mrunali ZodeIndian Council of Medical Research, New Delhi 110029, India.ORCID 0009-0006-1469-9547
Mongjam Meghachandra SinghDepartment of Community Medicine, Maulana Azad Medical College, New Delhi 110002, India.
Nandini SharmaDepartment of Community Medicine, SGT University, Gurugram 122505, India.

Funding

National Biopharma Mission, Biotechnology Industry Research Assistance Council (BIRAC), Department of Biotechnology, Government of India NA
6 · The paper itself

Abstract

backgroundAntimicrobial resistance (AMR) is a major public health threat in India, driven by the misuse of antibiotics. However, there is a lack of community-level data on AMR awareness and antibiotic use practices, especially in low-income urban settings. This study aimed to assess the knowledge, attitudes, and practices (KAPs) regarding antibiotic use and AMR among residents of a low-income area in Delhi.

methodsA community-based, cross-sectional study was conducted from April to June 2025 among 1601 adults in a low-income urban area of Delhi, using a validated questionnaire. Data on sociodemographic and KAP regarding antibiotics and AMR were collected. Ordinal and binary logistic regression analyses were performed to identify sociodemographic determinants of KAP.

resultsWhile 68.0% of participants had heard of antibiotics, specific knowledge was poor. Only 19.4% were aware of AMR, and significant misconceptions were prevalent, with 47.5% believing that antibiotics were effective for colds and flu. Self-medication with antibiotics was reported by 24.6% of respondents. Lower educational attainment, female gender, and lower income were significantly associated with poorer antibiotic knowledge and practices. Higher knowledge scores were strongly associated with better practices (AOR: 1.30, 95% CI: 1.23, 1.37,

conclusionsCritical knowledge gaps and high-risk antibiotic use practices are prevalent in this low-income urban community, strongly linked to social determinants like education, gender, and income. There is an urgent need for evidence-informed and tailored educational and behavior change interventions to curb irrational antibiotic demand and preserve these vital medicines.

Indexed as

antibiotic awarenessantibiotic stewardshipantimicrobial resistance (AMR)health literacyself-medication

Identifiers

PMID41463686
PMCPMC12729701

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.