Assessment of Knowledge, Attitude, and Practice (KAP) Regarding Antimicrobial Stewardship Among Resident Doctors in a Tertiary Care Teaching Hospital

Background:Antimicrobial resistance (AMR) represents a major global health challenge, driven largely by inappropriate antimicrobial use. Antimicrobial stewardship programs (ASPs) aim to optimize antibiotic prescribing; however, their effectiveness depends significantly on the knowledge, attitude, and practices (KAP) of frontline prescribers, particularly resident doctors. Methods:A cross-sectional, questionnaire-based study was conducted at a tertiary care teaching institution in North India over six months. A structured, validated Google Forms proforma was used to assess KAP related to antimicrobial stewardship among resident doctors. A total of 1500 residents participated. Data were analyzed using descriptive and inferential statistics, with p < 0.05 considered statistically significant. Results:Among participants, 48% demonstrated good knowledge, while 78% exhibited a positive attitude toward antimicrobial stewardship. Awareness of AMR was high (92%), but familiarity with WHO AWaRe classification was limited (44%). Appropriate prescribing practices were observed in only 44% of residents. Senior residents had significantly better knowledge compared to junior residents (p < 0.001). A notable gap between knowledge and practice was identified. Conclusion:Despite adequate awareness and favorable attitudes, substantial deficiencies in stewardship-related knowledge and prescribing practices persist among resident doctors. Structured training programs and strengthened institutional stewardship measures are essential to improve rational antimicrobial use and bridge the knowledge–practice gap.