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Updated: Oct 27, 2025

Author Spotlight: Understanding and Detecting Environmental Antimicrobial Resistance by Combining Culture-Based Techniques and Genomics
Published on: July 19, 2024
Knowledge, attitudes, and practices related to antimicrobial resistance among undergraduate students at a large
Kristine Tran1, Danielle N Hawkins1,2, Kathryn H Jacobsen1
1Department of Global & Community Health, George Mason University, Fairfax, Virginia, USA.
Objective:
To assess knowledge, attitudes, and practices (KAP) related to antimicrobial resistance (AMR) among college students.
Participants:
Undergraduate students at a large public university in the United States.
Methods:
Anonymous online questionnaire completed in early 2020.
Results:
While 82% of participants knew that resistant pathogens can spread between people, 38% believed that antibiotics weaken the immune system and 32% believed that AMR is only a problem for people who take antibiotics often. Many undergraduates have or would stop taking antibiotics before completing a full course because of side effects (44%) or feeling better (38%), and some would take (23%) or share (13%) antibiotics that had not been prescribed to the recipient. Only 57% are worried about AMR, compared to 88% who are worried about global climate change.
Conclusions:
Health education about antimicrobial stewardship and other global health issues must improve knowledge, perceptions, health behaviors, self-efficacy, and social norms.
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