A SURVEY ON THE KNOWLEDGE, ATTITUDE AND PRACTICES REGARDING ANTIBIOTIC USAGE AND RESISTANCE AMONG THE MEDICAL STUDENTS IN A TERTIARY CARE HOSPITAL

Abstract

Antibiotic resistance is an escalating global health threat, leading to treatment failure, prolonged hospitalizations, higher healthcare costs, and increased mortality. Medical students, as future healthcare providers, play a crucial role in curbing its spread through appropriate knowledge, attitudes, and practices (KAP). This study evaluated the KAP of medical students regarding antibiotic usage and resistance at a tertiary care hospital. A cross-sectional survey was conducted among 200 third to fifth year medical students using a structured questionnaire assessing antibiotic knowledge, perceptions of resistance, and self-reported prescribing behaviors. Statistical analyses included chi-square tests, independent t-tests, and Spearman’s rank correlation. Only 65% of students correctly identified mechanisms of antibiotic resistance, and 50% recognized the long-term consequences of overuse. While 70% expressed concern over the global impact, 30% perceived it as a greater issue in other regions. Notably, 40% reported inappropriate prescribing, particularly for viral infections. A moderate positive correlation was found between knowledge and practices (rho = 0.45, p < 0.01). These findings highlight significant gaps requiring targeted educational interventions, emphasizing antibiotic stewardship, resistance mechanisms, and clinical guideline application. Strengthening curricula, enhancing mentorship, and incorporating evidence-based teaching are essential to prepare future healthcare professionals to combat antibiotic resistance effectively.