Knowledge, Attitude and Behavior of Clinicians Towards Use of Proton Pump Inhibitors in A Tertiary Care Hospital in Nandyal, Andhra Pradesh: A Cross-Sectional Study

Background: Proton pump inhibitors (PPIs) are commonly prescribed for acid-related disorders. Evidence links prolonged or inappropriate use to adverse effects. Over-prescription and continuation without reassessment are common in hospital settings.

Aim: To assess the knowledge, attitude, and behavior of clinicians regarding PPI use in a tertiary care hospital in Nandyal.

Methods: The current hospital-based cross-sectional study was done over 90 days among 200 clinicians using a pre-designed, pre-tested, semi-structured questionnaire through Google Forms. The questionnaire evaluated socio-demographic details, knowledge (20 items), attitude (8 items), and behavior (7 items). Data were analyzed using descriptive statistics.

Results: Most patients were aged 24–33 years (81%). 98% identified common PPIs correctly and 97% understood their mechanism of action. Misconceptions existed regarding indications such as acute pancreatitis (57% responded incorrectly). 96% acknowledged PPI overuse in practice. Pantoprazole was the most commonly prescribed agent (40%). PPIs were commonly prescribed for abdominal pain (90% always/often).

Conclusion: Though clinicians showed reasonable knowledge and positive attitudes, prescribing behaviors revealed areas of irrational use. Institutional stewardship and educational interventions are recommended