International Journal of Agriculture Extension and Social Development

author(s)
Sivachandiran R, Prejit, Jess Vergis, Bhanu Rekha V, Ajay Kumar VJ, Nithya Quintoil M and Sowmiya V

abstract
The present study was conducted in Puducherry to assess the knowledge, attitude, and practices (KAP) related to antimicrobial resistance (AMR) among 200 medical interns, focusing on their future antimicrobial prescribing behaviour. A structured questionnaire consisting of 30 questions (10 each on knowledge, attitude, and practices) was administered. The findings revealed that 76% of interns were aware of superbugs, while only 28% were familiar with antimicrobial stewardship programs. Most respondents (96%) recognized that antibiotics can cause adverse effects, and 68% were aware that narrow-spectrum antibiotics contribute less to resistance. About 64% agreed that India may face an AMR crisis in the future, and 72% supported prescribing antimicrobials based on culture and sensitivity reports. However, only 36% believed that banning prophylactic antimicrobial use in food-producing animals could reduce AMR, while 68% were optimistic about the development of new antimicrobial classes. Notably, 88% acknowledged the combined role of medical and veterinary professionals in combating AMR. Regarding practices, 92% reported using antibiotics fewer than five times in the past year, yet 60% admitted to antibiotic use without consulting a doctor. Additionally, 88% discontinued antibiotics once symptoms improved. While most interns selected antimicrobials based on academic knowledge, 36% reported prescribing antibiotics over the phone. Overall, the study highlights adequate knowledge but variable attitudes and suboptimal practices related to AMR among medical interns. Strengthening AMR-focused education and stewardship training is essential to promote rational antimicrobial use.