A Knowledge, Attitude and Practice [KAP] Survey on Nurses’ Perception and Self-reported Practice Regarding Infection Control and Use of Antibiotics in Clinical Settings

Abstract

Background: The increasing burden of healthcare-associated infections and antimicrobial resistance necessitates a better understanding of nurses’ roles in infection control and antibiotic usage. Objective: The study evaluates nurses' Knowledge, attitude, and self-reported practices regarding infection control and rational antibiotic use, and identifes knowledge gaps that could inform targeted training and policy measures. Methods: A cross-sectional Knowledge, Attitude and Practice (KAP) survey was conducted using a validated structured questionnaire among 45 nurses across various departments of a secondary care hospital. The survey captured self-reported responses related to infection control awareness, attitudes towards antibiotic resistance, and clinical practices. Results: Among the 45 nurses surveyed, 46.7% believed antibiotics should be administered on time to slow bacterial growth.  57.8% suggested adjustments, while 15.6% suggested neither. Only 13.3% knew proper handwashing, while 59% were unaware of antibiotics and 62.2% were aware of HAI. Of these, 51% were aware of the various ways infections spread. Conclusion: A study involving 45 participants aimed to understand nurses' knowledge and practices regarding antibiotic use, infection control, and hand hygiene. The data included questions about side effects, antimicrobial stewardship, and confidence in managing multi-drug-resistant infections. The majority of participants agreed that antibiotics either kill bacteria or slow their growth, and they acknowledged the importance of timely administration. However, awareness of antimicrobial stewardship and hospital-acquired infections varied, with some indicating a lack of awareness. Hand hygiene practices also showed variability, with some nurses following protocols frequently while others rarely do. Nurses reported varying levels of confidence in managing multi-drug-resistant infection. The data underscores the need for improved training and consistent practices in antibiotic use and infection control among nursing staff.