Assessment of senior dental students and dental residents in matters of antimicrobial chemotherapy

Abstract

Antimicrobial therapy (AMT) is one of the principal problems in practice of the modern dentist. Mass visits to doctors for dental care, the prevalence of dental diseases among people from all walks of life, a unique quantitative and qualitative composition of the oral microflora, uncontrolled use of antimicrobials by patients results in increased resistance of microorganisms to antimicrobial medicines and increased number of cross-infection among dental office visitors. This article highlights the results of the study designed to assess knowledge of senior dental students of medical schools and dental residents on the main issues of antibiotic therapy and the empirical use of antimicrobials for treatment of respiratory disorders. Dental students of Belgorod have come into the study. According to the inquiry, 21.2% of dental students and 12.8% of dental residents were able to correctly choose the pharmacological group of antibiotics. 47.5% of students and 43.8% of residents decided to change the antibiotic due to the absence of clinical response within two to three days. 35% of dental students and 37.5% of the dental residents re-inquired believe that antibiotics should be replaced even in case of the positive result from their use. 16.7% of dental students managed to correctly choose all pharmacologically irrational combinations of antimicrobials, 17.2% of dental residents answered correctly after having been re-inquired. 25.6% of students and 31.2% of residents managed to completely make the empirical assignment of the AMT in case of respiratory infection. Only 50% of students and 62.5% of residents decided that their knowledge of the AMT is insufficient for the future work in the field of health care, and they need to make additional educational efforts related to the topic.

Assessment of physicians’ and senior medical students’ knowledge in treatment of patients with community-acquired pneumonia: Current results of the KNOCAP project

“…It is necessary to emphasize that this method of knowledge evaluation is relative, being specially developed for this study, and cannot fully reflect the general level of education quality in the university. Partial primary and intermediate results of this study were presented at the IACMAC-2015 (Bontsevich et al 2015) and ERS-2017 (Bontsevich et al 2017) congresses.…”

“…The survey was conducted within the KNOCAP multicenter research project, which started in 2014 (the acronym of the project "The assessment of students' (physicians') knowledge of community-acquired pneumonia basics") (Bontsevich et al 2015, Bontsevich et al 2017. So far, the results of the survey conducted in five centers have been obtained and analyzed.…”

“…Despite the impressive results achieved in the treatment of pneumonia, there is an acute problem of a significant decrease in the sensitivity of microorganisms to antibacterial drugs. The revealed triggers of microorganisms' resistance to antibiotics should be tackled, first, by raising the level of medical personnel's awareness of the issues of AMT of infectious diseases (Bontsevich et al 2015). For a timely diagnosis, rational administration of antimicrobial drugs and, therefore, effective therapy for CAP, the sound professional training of both practitioners and senior students is of great importance.…”

Assessment of senior medical care majors’ knowledge in antimicrobial chemotherapy

“…The developed method of knowledge assessment is relative, and was specially created for this study, and cannot fully reflect the general level of education quality at university. It part, the primary and intermediate results of this study were presented in the article "Assessment of Senior Students' Knowledge of Antimicrobial Chemotherapy Issues" (Bontsevich et al 2016).…”

“…Mass prescription of antimicrobials has led to a significant decrease in the sensitivity of microorganisms to the drugs (Theuretzbacher 2017). Meanwhile, the pipeline for new antimicrobials remains miserable (Kozlov 2015, Barber andSwaden-Lewis 2017).…”