Antimicrobial resistance and stewardshipin clinical practice

A cross-sectional study of healthcare professionals in Mogadishu, Somalia

Bibliographic Data

ID19593156
AuthorsBashiru Garba (0000-0001-7295-9665, SIMAD University, corresponding author), Muna Sheikh Mohamed (SIMAD University), Musab Mohamud Ahmed (SIMAD University), Omar Abdullahi Abdi (SIMAD University), Muna Ibrahim Hassan (SIMAD University), Mohamed Ali Ibrahim (SIMAD University), Najma Hashim Sayid Macani (SIMAD University), Yushau Umar (National Veterinary Research Institute), Fartun Abdullahi Hassan Orey (0000-0002-9263-7505, SIMAD University)
EditorsMuhammad Asaduzzaman (0000-0001-9048-7980)
Year2026
Volume6
Issue6
Pagese0006032
Publication date2026-06-18
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0006032
PMID42313867
OpenAlexW7165193625
LanguageEN
References cited31

Antimicrobial resistance is an escalating threat that undermines the effective treatment of common infections and increases morbidity, mortality, and healthcare costs. In fragile health systems such as Somalia’s, limited laboratory capacity, variable prescribing practices, and easy access to antibiotics can accelerate inappropriate use and resistance. This study assessed attitudes, general knowledge about antibiotics, and awareness of AMR and antimicrobial stewardship (AMS) among healthcare professionals in Mogadishu and examined associated socio‐demographic and professional factors. A cross‐sectional survey was conducted among 426 healthcare professionals from seven hospitals in Mogadishu. Participants included physicians, nurses and midwives, pharmacists, laboratory technicians, and other patient-care professionals, including radiology and allied clinical staff. Data were collected using a structured, self‐administered questionnaire covering socio‐demographic characteristics, attitudes towards actions to combat AMR, general knowledge about antibiotics, and awareness of AMR and AMS. Likert‐scale responses (1–5) were summed to generate composite scores. Descriptive statistics summarized scores, Spearman correlations assessed relationships between domains, and linear regression identified predictors of attitudes, knowledge, and awareness. Mean (SD) scores were 58.93 (7.73)/74 for attitudes (78.6%), 38.10 (6.90)/55 for knowledge (69.3%), and 36.07 (5.31)/49 for awareness (72.1%). Knowledge correlated with attitudes (ρ = 0.46, p

Antibiotic resistance · Antimicrobial stewardship · Descriptive statistics · Feeling · General knowledge · Health care · Health professionals · Resistance (ecology) · Antibiotic Resistance in Bacteria · Antibiotic Use and Resistance · Global Maternal and Child Health

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