Knowledge, Attitudes and Perceptions of Medical Students on Antimicrobial Stewardship

Efthymiou, Panagiotis; Gkentzi, Despoina; Dimitriou, Gabriel

doi:10.3390/antibiotics9110821

Cited by 31 publications

(25 citation statements)

References 53 publications

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“…The current findings revealed that irrational consumption of antimicrobial drugs may be responsible for drug resistance leading to worldwide problem as understood by majority of the participants. This agrees with previous studies conducted in Greece whereby the majority of the students affirmed that antimicrobial resistance is a global problem [19]. The most preferred sources of information on the use of antimicrobial as suggested by the students were treatment guidelines followed by the official book.…”

Section: Discussionsupporting

confidence: 90%

Evaluation of knowledge, attitudes and practices of human healthcare students about antimicrobial drug use and resistance: a cross-sectional study in University of Maiduguri, Nigeria

Bello¹,

Aliiyu²,

Yusuf³

et al. 2021

J. Pharm Bio.

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Inappropriate consumption of antimicrobial drugs is the main cause of antibiotic resistance which is currently the most critical global public health challenge. This research aimed to evaluate knowledge, attitudes, and practices of antimicrobial drug use and resistance among 576 students. Data were collected through a questionnaire. Descriptive analyses were performed to characterize the sampled population. Ethical clearance and students’ informed consent were obtained. Most of the students were within the age range of 21-25 years and have excellent knowledge of antimicrobial use. Also, most of them had very good knowledge of antimicrobial resistance. From the data analysed 445 (77.3%) agreed that students should get special training on the use of antimicrobials; 120 (20.8%) students agreed that education on the use of the antimicrobial drugs is necessary; 115 (20.0%) believed that prohibiting the use of antimicrobials without a valid prescription is a solution. The knowledge level on antimicrobial drug use and resistance was excellent 329 (57.1%). Most of the students' attitude as regards the usage of antimicrobials was found to be average. High rates of incorrect antimicrobial usage practices were noticed and the attitude was average. The development of an effective antimicrobial stewardship program is a necessity.

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Section: Discussionsupporting

confidence: 90%

Evaluation of knowledge, attitudes and practices of human healthcare students about antimicrobial drug use and resistance: a cross-sectional study in University of Maiduguri, Nigeria

Bello¹,

Aliiyu²,

Yusuf³

et al. 2021

J. Pharm Bio.

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“…The students perceived that antibiotics are overused in hospitals they rotate in and acknowledged that inappropriate use of antibiotic causes antibiotic resistance. By having this knowledge, it is hopeful that the next prescribers and dispensers, with adequate training, will have a positive approach to antimicrobial resistance and antimicrobial stewardship policies [ 24 ]. However, interestingly, but not surprisingly, majority of the students (61%) reported that they bought antibiotics over the counter without a prescription from a doctor.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitudes, and perceptions about antibiotic use and antimicrobial resistance among final year undergraduate medical and pharmacy students at three universities in East Africa

et al. 2021

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Introduction Proper measures to combat antimicrobial resistance development and spread in Sub Saharan Africa are very crucial bearing in mind the projected burden of antimicrobial resistance which is expected to be increase by 2050. Training of medical doctor and pharmacy students in antimicrobial stewardship is vital to combat antimicrobial resistance. This study was designed to evaluate the knowledge, attitude, and perception of final year medical and pharmacy students on antimicrobial use and antimicrobial resistance at three universities in Uganda, Kenya, and Tanzania. Methodology A cross-sectional survey was carried out among final year undergraduate medical and pharmacy students at three universities in East Africa. A Self-administered questionnaire was developed which included dichotomous questions and questions using a 4-point Likert scale. The questions were based on knowledge and attitude about antibiotics, and preparedness to use antibiotics in clinical scenarios. Data were analyzed using STATA version 16 following the objective of the study. Results Three hundred and twenty-eight final year students participated in the survey from MUK 75, MKU 75 and CUHAS 178. Slightly majority of participants were male 192(58.5%) and their median age was 25 [23 – 27] years. In general, 36.6% (120/328) of students had good overall total knowledge. More students at MUK had good knowledge compared to MKU, and CUHAS (72% vs, 40% vs. 20.2%; p<0.001). The mean scores for overall good total knowledge, general knowledge about antibiotics, knowledge about antibiotic resistance, and knowledge about antibiotic use in clinical scenarios were 58% (CI: 57%– 60%), 95% (CI: 94%– 97%), 54% (CI: 52% - 56%), and 46% (CI:44% - 48%) respectively. More pharmacy students compared to medical students had a good attitude and perception on antibiotic use (79.6% vs. 68.4%; p = 0.026). The students at CUHAS perceived being more prepared to use antibiotic in district hospitals compared to MKU and MUK (75.3% vs. 62.7% vs. 65.3%; p = 0.079). While two hundred and seventy (82.3%) students perceived knowing when to start antimicrobial therapy, 112 (34.2%) did not know how to select the appropriate antibiotic (p<0.0001), 97 (29.6%) did not know the antibiotic dose to give (p<0.0001), and 111 (33.8%) did not know when to switch form an intravenous antibiotic to oral regimen (p<0.0001). Conclusion Final year students have low scores in knowledge about antimicrobial resistance and antibiotic use in clinical scenarios. This has exposed gaps in practical training of students, while they may feel confident, are not fully prepared to prescribe antibiotics in a hospital setting. A multidisciplinary and practical approach involving medical schools across the East African region should be undertaken to train final year undergraduate students in antimicrobial resistance and antimicrobial stewardship programs. Antimicrobial resistance and antimicrobial stewardship courses should be introduced into the curriculum of final year medicine and pharmacy programs.

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“…The latter highlights the need for interventions on antibiotic prescribers, including continuing education. Educational activities for prescribers should start early on in their career, as research thus far has highlighted gaps in medical training in the field [41,42]. Novel and effective training methods on all aspects of antimicrobial stewardship and antimicrobial resistance should be incorporated in the Medical Curricula worldwide.…”

Section: Discussionmentioning

confidence: 99%

Parental Knowledge, Attitude, and Practices on Antibiotic Use for Childhood Upper Respiratory Tract Infections during COVID-19 Pandemic in Greece

et al. 2021

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This cross-sectional study aims to assess parents’ knowledge, attitude, and practices on antibiotic use for children with URTIs symptoms in Greece in the era of the COVID-19 pandemic. We distributed a questionnaire to a random sample of parents who visited primary health care centers in Patras, Greece. Out of 412 participants, 86% believed that most infections with common cold or flu symptoms were caused by viruses, although 26.9% believed that antibiotics may prevent complications. Earache was the most common symptom for which antibiotics were needed. Most of them (69%) declare being considerably anxious about their children’s health during the COVID-19 pandemic. The majority (85%) knew that COVID-19 was of viral origin, yet half of them declared uncertain whether antibiotics were needed. All demographic characteristics, except for gender, were found to have a significant effect on parents’ knowledge, attitude, and practices on antibiotic use for URTIs and COVID-19. Factor analysis revealed six groups of parents with common characteristics associated with misuse of antibiotics. Our findings highlight the need to decrease misconceptions regarding antibiotic use by providing relevant education for parents targeting particular characteristics, especially during the COVID-19 pandemic. Continuous education of healthcare providers in the field is also of paramount importance.

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Knowledge, Attitudes and Perceptions of Medical Students on Antimicrobial Stewardship

Cited by 31 publications

References 53 publications

Evaluation of knowledge, attitudes and practices of human healthcare students about antimicrobial drug use and resistance: a cross-sectional study in University of Maiduguri, Nigeria

Evaluation of knowledge, attitudes and practices of human healthcare students about antimicrobial drug use and resistance: a cross-sectional study in University of Maiduguri, Nigeria

Knowledge, attitudes, and perceptions about antibiotic use and antimicrobial resistance among final year undergraduate medical and pharmacy students at three universities in East Africa

Parental Knowledge, Attitude, and Practices on Antibiotic Use for Childhood Upper Respiratory Tract Infections during COVID-19 Pandemic in Greece

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