Addressing antimicrobial resistance in Nigerian hospitals: exploring physicians prescribing behaviour, knowledge and perception of antimicrobial resistance and stewardship programs

Adefunke O Babatola, Joseph O Fadare, Oladele S Olatunya, Reginald Obiako, Okezie Enwere, Aubrey Kalungia, Temitope O Ojo, Taofeek A Sunmonu, Olufemi Desalu, Brian Godman

Research output: Contribution to journalArticle


Introduction: We assessed the knowledge of, attitude towards antimicrobial resistance (AMR) and practice of antimicrobial stewardship (AMS) among physicians in Nigeria to provide future guidance to the Nigerian National Action Plan for AMR. Methods: A descriptive cross-sectional questionnaire-based study explored the physicians’ self-reported practice of antibiotic prescribing, knowledge, attitude and practice of AMR and components of ASPs. Results: The majority (217; 67.2%) of respondents prescribed antibiotics daily in their clinical practice AMR was recognized as a global and local problem by 308 (95.4%) and 262 (81.1%) respondents respectively. Only 91 (28.2%) of respondents have ever heard of antibiotic stewardship. The median AMR knowledge score was 40 (19-45) out of 45while that for ASP was 46.0(32-57) out of 60. There was significant statistical difference between the ASP median scores among the medical specialties category (P value <0.0001) More respondents had good knowledge of AMR than ASPs (82.7% versus 36.5%; p <0.0001). Conclusion: Respondents in this study were more knowledgeable about AMR than AMS and its core components.
Original languageEnglish
Number of pages39
JournalExpert Review of Anti-infective Therapy
Early online date29 Sep 2020
Publication statusE-pub ahead of print - 29 Sep 2020


  • antibiotic stewardship
  • rational use antimicrobials
  • inappropriate use of antimicrobials
  • antibiotic prescription
  • tertiary healthcare facilities
  • Nigeria

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