| Summary: | This study examined the level of knowledge, attitude and the associated factors of antibiotic use among urban community in Malaysia. A cross sectional study conducted during the period from 02 June until 19 June 2014 at Shah Alam, Selangor, Malaysia. A systematic random sampling was used and a self-administered questionnaire in Malay language was used to collect the data. The questionnaire consists of three parts: socio-demographic, knowledge on antibiotic usage, attitude on antibiotic usage. The proposal of this study was approved by the Ethics Committee, Faculty of Medicine, UiTM, Malaysia. Data were and analyzed using Statistical Package for Social Sciences (SPSS for Windows version 20.0). A total of 450 respondent participated in this study with mean age 34.98 ±10.203. The majority of them female, Malay, with university educational and employed (55.3%, 85.3%, 58.2%, 53.6%; respectively). About 78.9% reported that antibiotics used to treatment bacterial infections. However, 52.9% reported that antibiotics used to treat viral infections. About 61.6% of the respondents were aware of antibiotic resistance phenomena in relation to overuse of antibiotics. About 35.1% believed that antibioticcould help cold symptoms to recover faster. Educational level, healthcare-related occupation and family's occupation related to healthcare were significantly associated with knowledge toward antibiotic use. Healthcare-related occupation, marital status and monthly income were significantly associated with attitude toward antibiotic use. In addition, there is moderate positive correlation between knowledge score and attitude score of the respondents (p < 0.001) which means the increases in the knowledge score, the higher the attitude score. Healthcare-related occupation was significantly associated with both knowledge and attitude toward antibiotic use. Increases in the knowledge score, the higher the attitude score.
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