Addressing antimicrobial resistance in Nigerian hospitals: exploring physicians prescribing behavior, 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 journalArticlepeer-review

2 Citations (Scopus)


Introduction: We assessed the knowledge of, attitude toward 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
Pages (from-to)537-546
Number of pages10
JournalExpert Review of Anti-infective Therapy
Issue number4
Early online date29 Sep 2020
Publication statusPublished - 30 Apr 2021


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

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