Perception And Adherence To Hospital Antimicrobial Policy Among Healthcare Professionals In Four Tertiary Care Hospitals Of India

Abstract

Background: Antimicrobial resistance (AMR) is a global health threat, largely driven by irrational antibiotic use. Hospital antibiotic policies and antimicrobial stewardship programs (ASPs) aim to regulate prescribing practices. However, adherence among healthcare professionals varies.

Objective: To assess the perception and adherence to hospital antibiotic policy among MBBS students & interns, nursing students, dental students, and healthcare staff in four tertiary-level hospitals in India.

Methods: A cross-sectional study was conducted among 350 participants: 100 MBBS students & interns, 100 nursing students, 50 dental students, and 100 healthcare staff (including nurses and technicians). A structured questionnaire assessed knowledge, attitudes, and practices (KAP) regarding hospital antibiotic policy. Data were analyzed using descriptive statistics and chi-square tests.

Results:

• Perception: 82% of MBBS students & interns, 76% of nursing students, 64% of dental students, and 70% of healthcare staff recognized the importance of antibiotic policies in combating AMR.
• Adherence: Actual adherence was lower: 68% among MBBS students & interns, 55% among nursing students, 48% among dental students, and 52% among healthcare staff.
• Barriers: Common barriers included lack of regular training (62%), patient demand for antibiotics (48%), and limited diagnostic support (41%).

Conclusion: While perception of antibiotic policies is generally positive, adherence remains suboptimal across all groups. Strengthening training, audit-feedback mechanisms, and multidisciplinary stewardship teams is essential to bridge the gap between awareness and practice.