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Indian Journal of Pharmacy and Pharmacology


An evaluation of knowledge, attitude and practice of rational antibiotic usage and antibiotic resistance among interns in a teaching tertiary care hospital: A cross-sectional questionnaire/ based stud


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Author Details: Pallavi Kulkarni, Alice Kuruvilla, Regina Roy, Indla Ravi

Volume : 4

Issue :

Online ISSN : 2393-9087

Print ISSN : 2393-9079

Article First Page : 192

Article End Page : 197


Abstract

Introduction: To assess the knowledge, attitude and practice of the interns about rational antibiotic use and antibiotic resistance in a teaching tertiary care hospital.
Materials and Methods: A cross-sectional questionnaire based study was conducted involving a total of 100 interns. The data was collected in excel sheet and analyzed with descriptive statistics and results expressed as mean and standard deviation, frequencies and percentages.
Results: Mean age of the participants was 24±0.71 years, with mean duration of internship 6.9±2.3 months. Sixty percent (n=60) had moderate and 39% (n=39) had good knowledge about rational antibiotic use. Fifty-six percent (n=56) knew the components of rationality, 41% (n=41) had confusion between definitive and empirical therapy. The attitude of the interns was good and positive, 96% (n=96) of them agreed that antibiotic resistance is a serious global health issue, 92% (n=92) were aware of the factors contributing to antibiotics resistance and 82% (n=82) strongly felt the need of a hospital antibiotic policy. Seventy-two percent (n=72) of the interns chose antibiotic based on senior clinicians’ opinion. Seventy-four percent (n-=74) interns opined that Internal medicine postings followed by surgery postings would have a significant role and impact on their prescribing practices.
Conclusion: Interns had moderate knowledge and favorable positive attitude, improvisation in the internship curriculum involving multi-modal approach with inclusion of tailored educational interventions like case-based scenarios, group discussions, workshops, continued medical education programmes, sensitization programmes particularly during their major clinical postings, in addition active involvement of the clinicians would ensure more effective training of the future prescribers.

Keywords: Interns, Antimicrobial resistance, Rational use, Antibiotics