Antimicrobial stewardship has been defined as “the optimal selection, dosage, and duration of antimicrobial treatment that results in the best clinical outcome for the treatment or prevention of infection, with minimal toxicity to the patient and minimal impact on subsequent resistance. Rapid development of antimicrobial agents came with a cost—antimicrobial resistance. Physicians play an important role in the fight against antimicrobial resistance by their rational practices in usage of antimicrobials and by educating the society regarding usage of antibiotics and its consequences of developing resistance. Hence, cross sectional survey was conducted to understand knowledge, attitude and practice of resident doctors regarding the antibiotic stewardship practices, at a tertiary care hospital, Delhi, India, which will guide us in developing strategies for effective implementation of such programmes. To assess the knowledge attitude and practice in resident doctors on antibiotic stewardship programme at a tertiary care centre. The study was conducted by a survey of preformed questions on knowledge, attitude and practice in antibiotic stewardship practices among 80 resident doctors at Tertiary care hospital, Delhi, India from March 2016 to April 2016. In this study 44.6% of the participants were females and 55.4% were males; 90% of the participants knew about the advantages of having hospital antibiotic policy; 78.7% feel confident about their knowledge and practice in the area of antimicrobial prescribing; 86.2% feel that hospital antibiotic policy is useful in reducing AMR; 83.7% people know that combination of antibiotics can prevent development of AMR; 70% feel that microbiologist should be consulted when required about antibiotic prescription; 87.5% had a copy of antibiotic policy of the hospital; 16.2% do not practice consulting the senior physician before prescribing higher antibiotics; 72.5% follows de-escalation in their practice; 86.2 % implement antibiotic policy in their practice? The study concludes that there is a need for approach that includes implementation of antibiotic policy and to plan for an effective undergraduate teaching programme regarding antibiotic resistance and prescription which can improve the quality of antibiotic prescription and thereby minimizing the antibiotic resistance.

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