Medical Students’ Knowledge, Attitudes, and Behaviors on Antimicrobial Resistance in Tbilisi

Abstract

Antimicrobial resistance (AMR) is a global challenge requiring improved medical education to prepare future prescribers for rational antimicrobial use. This study assessed foreign medical students' knowledge, attitudes, and behaviors regarding antibiotic use and AMR in Tbilisi, Georgia. A cross-sectional study was conducted in 2024 with 302 students from Tbilisi State University and The University of Georgia. Most participants were first-year students, primarily women aged 17–30. While 81.1% knew antibiotics are ineffective against viruses, women demonstrated superior knowledge. Discussions on AMR occurred during lectures, and awareness before medical school was also common. Self-medication persisted in some students despite AMR education. Although students showed strong foundational knowledge, misconceptions and gaps in confidence remain. Curriculum improvements and ongoing AMR education are vital for future healthcare professionals.