The role of education in antimicrobial stewardship

Satterfield, Jessica; Miesner, Andrew R.; Percival, Kelly M

doi:10.1016/j.jhin.2020.03.028

Cited by 50 publications

(36 citation statements)

References 47 publications

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“…With all above-mentioned issues, we understand the need to enhance medical education towards AMS. The majority of students worldwide consider traditional lectures and passive learning tools ineffective methods or an unsuccessful way of promoting knowledge on antibiotics and AMS [11,21,36,41]. Therefore, a more practical approach such as discussion of clinical scenarios and presence in clinical practice (e.g., clinical placements, clinical rotations [12,16,38]) seems to have a positive effect on knowledge of and attitude toward antibiotic usage and administration [20,35].…”

Section: Implications For Future Approachmentioning

confidence: 99%

“…Moreover, e-learning and online education about AMS is a desirable and effective method according to medical professionals and students [41,49], although a European survey questions the successfulness of this means [35,50]. Furthermore, a study based on a seminar for medical students included real patients and their advocates.…”

Section: Implications For Future Approachmentioning

confidence: 99%

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Knowledge, Attitudes and Perceptions of Medical Students on Antimicrobial Stewardship

2020

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Antimicrobial Resistance (AMR) is an ongoing threat to modern medicine throughout the world. The World Health Organisation has emphasized the importance of adequate and effective training of medical students in wise prescribing of antibiotics Furthermore, Antimicrobial Stewardship (AMS) has been recognized as a rapidly growing field in medicine that sets a goal of rational use of antibiotics in terms of dosing, duration of therapy and route of administration. We undertook the current review to systematically summarize and present the published data on the knowledge, attitudes and perceptions of medical students on AMS. We reviewed all studies published in English from 2007 to 2020. We found that although medical students recognize the problem of AMR, they lack basic knowledge regarding AMR. Incorporating novel and effective training methods on all aspects of AMS and AMR in the Medical Curricula worldwide is of paramount importance.

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Section: Implications For Future Approachmentioning

confidence: 99%

Section: Implications For Future Approachmentioning

confidence: 99%

Knowledge, Attitudes and Perceptions of Medical Students on Antimicrobial Stewardship

2020

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“…Complementary approaches: used alone, didactic passive educational materials are insufficient as antimicrobial stewardship activities. They should be used in conjunction with complementary approaches such as prospective audit and continuous feedback, which have been demonstrated to decrease the number of new prescriptions and to improve clinician satisfaction [68,73]. For example, Computer-Assisted Decision Support Programs can provide real-time feedback that has been shown to result in significant reductions in the use of antimicrobials and an increase in concordance with recommendations [74][75][76].…”

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confidence: 99%

Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

Agossa

Mainville

et al. 2021

Antibiotics

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The aim of the present survey is to investigate the use of antibiotics during periodontal therapy among French dentists with a focus on exploring potential differences between various groups of practitioners. A self-administered questionnaire was distributed to different groups of practitioners including members of (i) the French Society of Periodontology and Implantology; (ii) the College of University Teachers in Periodontology and, (iii) private practitioners participating in the French general dental practice-based research network. 272 questionnaires were included in the analysis. Prescription patterns were globally in line with the current recommendations. Systemic antibiotics are most frequently used as a first-line therapy in necrotizing periodontitis (92%) and aggressive periodontitis (53.3% to 66.1%). However, malpractice still exists, including in the management of periodontal abscesses. Antibiotics are prescribed (i) less frequently for periodontal abscesses and (ii) more frequently for generalized aggressive periodontitis by members of the periodontal society and University college (p < 0.05). Amoxicillin (59.9%) and the amoxicillin + metronidazole (59.6%) combination were the most frequently prescribed molecules. Providing a high number of periodontal treatments per week, being more recently graduated, having a post-graduate certificate in periodontology and holding or having held an academic position/hospital practice were all factors associated with a better knowledge of and/or more adequate antibiotic use.

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“…[3] To provide optimal evidence-based care of the patient, the nurse needs to understand that the nursing role within AMS is aimed at the prevention of AMR. Ongoing education forms the foundation of AMS programmes, [2,4,5] and is a 'key factor in empowering nurses to take responsibility for AMS' . [6] Unfortunately, nurses' knowledge of AMS and antibiotics continues to be suboptimal, despite it being identified as an important aspect of the AMS role for nurses, [7][8][9][10][11][12][13][14][15] affecting both nursing practice and communication with others within the multidisciplinary AMS team, [4,10,[15][16][17][18][19][20][21][22] possibly due to a historical focus on nursing documentation rather than interpretation.…”

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confidence: 99%

Guideline recommendations for antimicrobial stewardship education for clinical nursing practice in hospitals: A scoping review

Rout

Essack

Brysiewicz

2021

SAJCC

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Background. Antimicrobial stewardship (AMS) is a proactive healthcare intervention to improve patient outcomes by optimising antimicrobial use. Although nursing involvement is a recognised necessity, bedside nurses may not yet possess competencies to fulfil this role. Objectives. To identify recommendations for AMS education for the bedside nurse in key global AMS guidelines. Methods. Scoping review methodology was used to systematically search published and ‘grey’ literature in PubMed, EBSCOhost, Google Scholar, government websites and websites of professional societies and organisations. Search dates were from 1990 to 2020. Inclusion criteria were English language AMS guidelines for hospitals. Results. Literature searches retrieved 1 824 articles, with 43 meeting the review inclusion criteria. Reference was made to AMS nursing education in 23 (53.4%) of the articles. Educational opportunities for nurses were recommended: inclusion of AMS concepts/content into undergraduate and postgraduate nursing curricula (n=12; 27.9%), in-hospital training (n=14; 32.5%) and continuing professional development (n=6; 13.9%). Recommendations for nursing education were as follows: role of AMS in preventing antimicrobial resistance (n=7; 16.2%), infection prevention and control (n=3; 6.9%), diagnostics in AMS (n=5; 11.6%), pharmacology (n=11; 25.5%) and collaboration (n=2; 4.6%). Identified nursing educational gaps were: nurses not recognising their role within AMS (n=5; 11.6%), inadequate nursing resources and expertise for dosing, pharmacokinetic/pharmacodynamic strategies and managing possible drug incompatibilities with extended/prolonged infusions (n=3; 6.9%), and inappropriate nurse disposal of antibiotic waste (n=1; 2.3%). Conclusions. Although recommendations for nursing education were found in many key AMS guidelines, few guidelines provided detailed descriptions of the nursing competencies that were required for this role.

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The role of education in antimicrobial stewardship

Cited by 50 publications

References 47 publications

Knowledge, Attitudes and Perceptions of Medical Students on Antimicrobial Stewardship

Knowledge, Attitudes and Perceptions of Medical Students on Antimicrobial Stewardship

Antibiotic Use in Periodontal Therapy among French Dentists and Factors Which Influence Prescribing Practices

Guideline recommendations for antimicrobial stewardship education for clinical nursing practice in hospitals: A scoping review

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