{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T09:09:12Z","timestamp":1793351352200,"version":"4.5.0"},"reference-count":34,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Biopharma Mission, Biotechnology Industry Research Assistance Council (BIRAC), Department of Biotechnology, Government of India","id":[{"id":"https:\/\/ror.org\/036h6g940","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Antibiotics"],"abstract":"<jats:p>Background: Antimicrobial resistance (AMR) is a major public health threat in India, driven by the misuse of antibiotics. However, there is a lack of community-level data on AMR awareness and antibiotic use practices, especially in low-income urban settings. This study aimed to assess the knowledge, attitudes, and practices (KAPs) regarding antibiotic use and AMR among residents of a low-income area in Delhi. Methods: A community-based, cross-sectional study was conducted from April to June 2025 among 1601 adults in a low-income urban area of Delhi, using a validated questionnaire. Data on sociodemographic and KAP regarding antibiotics and AMR were collected. Ordinal and binary logistic regression analyses were performed to identify sociodemographic determinants of KAP. Results: While 68.0% of participants had heard of antibiotics, specific knowledge was poor. Only 19.4% were aware of AMR, and significant misconceptions were prevalent, with 47.5% believing that antibiotics were effective for colds and flu. Self-medication with antibiotics was reported by 24.6% of respondents. Lower educational attainment, female gender, and lower income were significantly associated with poorer antibiotic knowledge and practices. Higher knowledge scores were strongly associated with better practices (AOR: 1.30, 95% CI: 1.23, 1.37, p &lt; 0.001). Conclusions: Critical knowledge gaps and high-risk antibiotic use practices are prevalent in this low-income urban community, strongly linked to social determinants like education, gender, and income. There is an urgent need for evidence-informed and tailored educational and behavior change interventions to curb irrational antibiotic demand and preserve these vital medicines.<\/jats:p>","DOI":"10.3390\/antibiotics14121184","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T12:41:58Z","timestamp":1763728918000},"page":"1184","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Knowledge, Attitudes, and Practices of Antibiotic Use and AMR in Low-Income Urban Delhi, India: A Community-Based Cross-Sectional Study"],"prefix":"10.3390","volume":"14","author":[{"given":"Shivani","family":"Rao","sequence":"first","affiliation":[{"name":"Department of Community Medicine, Maulana Azad Medical College, New Delhi 110002, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saurav","family":"Basu","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, ESI-PGIMSR, ESIC Medical College, Joka, Kolkata 700104, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srishty","family":"Rajaura","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Maulana Azad Medical College, New Delhi 110002, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1469-9547","authenticated-orcid":false,"given":"Mrunali","family":"Zode","sequence":"additional","affiliation":[{"name":"Indian Council of Medical Research, New Delhi 110029, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mongjam Meghachandra","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Maulana Azad Medical College, New Delhi 110002, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nandini","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, SGT University, Gurugram 122505, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2023). 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