The Knowledge and Usage of Antibiotics and Medicinal Plants Among Undergraduate Students: Their Awareness of Resistance in Sulaymaniyah, Iraq
Abstract
Background: Antimicrobial resistance (AMR) is a critical global health concern affecting millions worldwide. Misuse of antibiotics and increased reliance on traditional remedies such as medicinal plants contribute to the complexity of AMR, especially in developing regions. Objectives: This study aimed to assess the knowledge and utilization of antimicrobial drugs and medicinal plants among undergraduate students in Sulaimani City, Iraq. Methods: A quantitative cross-sectional study was conducted between February and March 2023 using convenience sampling among 301 students from four institutions: Kurdistan Technical Institute (KTI), Sulaimani Polytechnic University (SPU), University of Human Development (UHD), and University of Sulaimani (UOS). Data were analyzed using Chi-square and Kruskal-Wallis tests. Results: The correct knowledge rate was 61.3% for antibiotics and 73.5% for medicinal plants. Antibiotics were primarily used to treat nasal and pharyngeal infections (n = 161; 53.5%), while medicinal plants were commonly used for the same conditions (n = 104; 34.6%). A majority of students (n = 222; 73.7%) expressed dissatisfaction with medications used for recurrent bacterial infections. Conclusions: The findings emphasize the need to promote rational antibiotic use and safe application of medicinal plants. Educational initiatives targeting prescribers and students may help curb AMR and support public health. Limitations include sampling bias due to the predominance of female and medical students, which may limit generalizability. Future studies should aim for more representative populations.
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