Evaluating Awareness Levels of Antibiotic Resistance Among the General Public in Shimla
Background: Antibiotic resistance (AR) is a critical global health challenge, threatening the efficacy of antibiotics and leading to prolonged illnesses, higher healthcare costs, and increased mortality. Public awareness of AR and the responsible use of antibiotics are pivotal in combating this issue. This study aimed to assess awareness levels of antibiotic resistance among the residents of Shimla, focusing on knowledge gaps, socio-demographic influences, and perceptions regarding antibiotic use.Materials and Methods: A descriptive cross-sectional study was conducted in Shimla district over three months (August–October 2024), encompassing urban and rural populations. A structured, pre-tested questionnaire captured socio-demographic data and assessed awareness of antibiotic resistance, causes, consequences, and preventive practices. The study included 400 participants selected through convenience sampling. Scores were categorized as Very Good (>80%), Good (60–79%), Fair (41–59%), and Poor (<40%). Data were analyzed using descriptive and inferential statistics to identify trends and correlations.Results:The study revealed moderate awareness levels, with 20.50% scoring "Very Good," 36.25% "Good," 31.75% "Fair," and 11.50% "Poor." While 65.00% identified self-medication as a key contributor to AR, only 52.50% correctly stated that antibiotics are ineffective against viral infections. Misconceptions about antibiotic use and resistance mechanisms were prevalent, with only 51.00% accurately defining AR. Awareness of improper disposal contributing to resistance was low (44.50%). Rural residents (57.50% of the sample) and individuals with lower educational attainment demonstrated significantly lower awareness.Conclusion: The study underscores critical gaps in public knowledge about antibiotic resistance, particularly among rural and less-educated populations. While some foundational awareness exists, misconceptions and limited understanding of resistance mechanisms and preventive measures persist. Targeted, community-specific educational interventions focusing on the appropriate use of antibiotics, the importance of completing prescribed courses, and proper disposal practices are essential. Public health strategies must prioritize underserved populations to reduce the misuse of antibiotics and mitigate the spread of resistance, safeguarding antibiotics for future generations.