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Articles
Published: 07-13-2026

Assessment knowledge, attitudes, and practices of healthcare workers and residents related to antimicrobial resistance in Al-Suwaria city, Wasit Governorate, Iraq: a cross-sectional study

Middle Technical University. Technical Institute of Suwaria. Department of Food Industry Technologies, Baghdad, Iraq
Middle Technical University. Technical Institute of Suwaria. Department of Food Industry Technologies, Baghdad, Iraq
Middle Technical University Department of Crime Evidence. Institute of Medical Technology Al - Mansour, Baghdad, Iraq
Middle Technical University. Technical Institute of Suwaria, Baghdad, Iraq
Ajou University. College of Pharmacy, Suwon 16499, Republic of Korea
Universitas Sumatera Utara. Faculty of Pharmacy. Department of Pharmacology, Medan, Indonesia
Antimicrobial resistance Antimicrobial stewardship Healthcare workers KAP

Abstract

Introduction: Antimicrobial resistance (AMR) is one of today's biggest public health challenges. Fighting this global public health threat requires cross-sector cooperation. Thus, this study examined the knowledge, attitudes, and practices (KAP) of inhabitants and health care workers (HCWs) in Al-Suwaria City at Wasit province, Iraq about AMR. Methods: This study used 125 random contributors for cross-sectional analysis from January to April 2024. A questionnaire gathered participants' demographic information, as well as their antibiotic resistance knowledge, attitudes, and behaviors. The data was analyzed using a Statistical Analysis System (SAS). Results: According to knowledge evaluation questions, only 43.75% demonstrated a good understanding of AMR. There are also knowledge gaps in the ability to use antibiotics to treat viral infections (24.0%) and tackle antibiotic resistance by discovering novel medicines (56.0%). Additionally, high rates of participants (50.4%) strongly agreed on the need to governor over-the-counter (OTC) antibiotic administration, while 47.2% had weak attitudes toward healthcare professionals' infection control practices combating AMR in their region. Regarding practices to AMR, our findings showed that 57.14% of responders had insufficient procedures. While the knowledge and attitude of the participants in this study were significantly correlated (p ≤ 0.01), the knowledge and practices (p = 0.266) and attitudes and practices (p = 0.6072) did not show a significant correlation (p ≥ 0.05). Conclusions: An educational intervention tailored to individuals and HCWs' sociodemographic and professional characteristics is needed to bridge theory and practice and enhance attitudes and practices.

How to Cite

Kanaan, M. H. G., Dhefer, I. H., Tarek, A. M., Aljhyiish, W. . F., Abdullah, S. S. ., & Marianne, M. (2026). Assessment knowledge, attitudes, and practices of healthcare workers and residents related to antimicrobial resistance in Al-Suwaria city, Wasit Governorate, Iraq: a cross-sectional study. International Journal of Nutrology, 19(3). https://doi.org/10.54448/ijn26310