Significant gaps in practice present despite higher levels of public awareness in antibiotic use and antimicrobial resistance in the western province of Sri Lanka.

The model was highly significant, χ 2 (47, N =200)=129.49, P <0.001, at the same time the model explained 47.7% (Cox and Snell R 2) to 64.5% (Nagelkerke R 2) of the variance on AMR knowledge and was able to classify 86.5% of the cases.

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Moreover, this study discloses a worrying trend of inconsistent adherence to antibiotic guidelines, irrespective of changing levels of healthcare access and awareness.

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