Knowledge on antibiotic use and antibiotic dispensing practices in pharmacies in Bengaluru city

Community pharmacists are pivotal in healthcare by dispensing medications and providing health education. However, the misuse of antibiotics, contributing to antimicrobial resistance (AMR), is a major global health threat. : This study aims to find the discrepancies in sale on antibiotics and asses the knowledge of the dispensers. A cross-sectional observational study was conducted from June to December 2023. Data were collected from 50 people dispensing at community pharmacies in Bengaluru using a pre-validated questionnaire. The questionnaire included of 11 knowledge-based and 11 practice-based. The study included 50 pharmacists: 17 registered (58.8% B. Pharm, 41.2% D. Pharm) and 33 non-pharmacists (12-B.Sc, 5-12 Pass, 5-B.Com, 4-BA, 2-Diploma in Health education, 2-BAMS Graduate, 2-10 Pass, 1-MBBS). 64% unaware of multi-drug resistant bacteria.28% thought antibiotics could be used for diabetes or hypertension. Around 80% incorrectly identified the use of antibiotics for fever, body ache, cold, and cough.26%dispensed antibiotics without prescriptions, mainly non-pharmacists. Common antibiotics dispensed included Amoxicillin (44%). The study revealed critical deficiencies in knowledge and practice among people dispensing at community pharmacies in Bengaluru. There is an urgent need for comprehensive educational initiatives and updated regulatory guidelines to improve antibiotic use and combat AMR.