Undergraduate antibiotic stewardship training: Are we leaving our future prescribers ‘flapping in the wind’?

Brink, Adrian; Schoeman, Johan P.; Muntingh, George L.

doi:10.7196/samj.2017.v107i5.12496

Cited by 11 publications

(18 citation statements)

References 13 publications

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“…Further, there is no residency (house job/internship) programme for fresh VM graduates, and veterinarians (most of which have no experience/skill on graduation) are allowed to start prescribing (with or without supervision by senior veterinarians) and dispensing AB immediately on graduation from veterinary schools (Anyanwu and Kolade, 2017). Given the importance of veterinarians as key partners in ABS efforts, VMS should therefore be knowledgeable about ABR and ABS (Brink et al, 2017). In this study, 3 major findings which are similar with those of multicentre studies (Minen et al, 2010;Abbo et al, 2013;Dyar et al, 2014;Justo et al, 2014;Burger et al, 2016;Ferdoush et al, 2016;Yang et al, 2016;Wasserman et al, 2017) conducted among medical/pharmacy students in developed and developing countries were made: (i) low level of knowledge about ABR and ABS, (ii) perceived lack of preparedness to practice ABS and lead in ASPs, and (iii) desire for more education about ABR and ABS.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, education of veterinary medical undergraduate students on ABS is critical for the control of ABR because these future veterinarians are to be in the frontline (as professionals and educators of other allied healthcare professionals, the public and their clients/patients) in infection control, development, establishment and implementation of ASPs (Delit et al, 2007;Wasserman et al, 2017;O'Donnel and Guarascio, 2017). A veterinarian with insufficient knowledge about ABs, ABR and ABS would neither be able to practice ABS nor lead others in stewardship programmes (Brink et al, 2017). Moreover, it is difficult for veterinarians to change habits that are untoward ABS once they are Kaduna State northwest region, the Federal University of Agriculture, Markurdi in northcentral region and the University of Abuja in the Federal Capital Territory.…”

Section: Study Design Site and Populationmentioning

confidence: 99%

“…Therefore, veterinarians are expected to be in the frontline of the fight against ABR (Castro-Sanchez et al, 2016;Brink, et al, 2017;Moran, 2017;Dyar et al, 2018). Optimization of AM prescribing is the best way to checkmate escalating ABR worldwide and to preserve AB for future generations (Broom et al, 2016;Moran, 2017).…”

Section: Study Design Site and Populationmentioning

confidence: 99%

“…The only study which assessed veterinary students' perception and knowledge about ABR and ABS is that of Dyar et al (2018) in the United Kingdom (UK). There have been calls (Wesse et al, 2015;Brink et al, 2017;Dyar et al, 2018) for studies evaluating veterinary students' perceptions and knowledge about ABR and ABS.…”

Section: Introductionmentioning

confidence: 99%

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Veterinary Medical Students’ Perceptions, Attitude and Knowledge about Antibiotic Resistance and Stewardship: How Prepared Are Our Future Prescribers?

et al. 2018

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A cross sectional, multicentre survey utilizing a questionnaire was used to assess 6 th -(final-) year veterinary medical students' perceptions, attitude and knowledge about antibiotic resistance (ABR) and stewardship (ABS) in 5 convenientlyselected veterinary schools in Nigeria. Data obtained were analyzed by Fischer's exact and χ 2 tests at a significance level of P < 0.05. Out of 175 final-year veterinary students, 95 (54.3% i.e., response rate) completed the survey. Of the 95, 17% have heard about ABS and 7% knew the meaning of ABS. Less than 10% knew the core principles and goals of ABS and less than 20% of the respondents knew the ideal members of an ABS team. All the respondents rightly knew that no antibiotic stewardship programme (ASP) exist in veterinary hospitals in Nigeria, nearly all of them (97%) reported that antibiograms are rarely used during antibiotic (AB) prescription in their institutional veterinary teaching hospital (VTH) and about two-third (65%) believed that ABs are overused in most veterinary hospitals in Nigeria. Most of the respondents believed that ABR is of greater concern at national level than in their institutional VTHs and majority of them (92%) believed that ABR is a global problem (P = 0.009). Minority of the respondents knew that inadequate personal hygiene, use of substandard ABs, prescription of ABs by non-veterinarians/professionals, poor infection control practices, treating self-limiting infections with ABs, suboptimal and incomplete AB doses (P = 0.017), are factors that promote ABR. Minority of the respondents knew that education on AB therapy (44%), development of antibiotic usage policies (35%), reduction of AB use (14%), establishment of national AB resistance surveillance (28%) and development of institutional guidelines for AB use (29%), are critical interventions to curb ABR. Only 17% of the respondents felt that their education on ABR is adequate for their veterinary career. Most of the respondents believed that strong knowledge of ABs is important for their future veterinary career and would like more education about ABR and ABS. Overall mean correct score of 29% on clinical knowledge vignettes with similar scores across the schools in all the areas, was recorded. This survey has shown that Nigerian veterinary students' perception and knowledge about ABR and ABS are poor and therefore creates doubt about their preparedness to practice ABS. There is urgent need for improved ABS education in Nigerian veterinary schools.

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Section: Discussionmentioning

confidence: 99%

Section: Study Design Site and Populationmentioning

confidence: 99%

Section: Study Design Site and Populationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Veterinary Medical Students’ Perceptions, Attitude and Knowledge about Antibiotic Resistance and Stewardship: How Prepared Are Our Future Prescribers?

et al. 2018

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“…The guest editorial by Brink, Schoeman and Muttingh [6] published in the May 2017 issue of the SAMJ correctly emphasised a current barrier to the implementation of antimicrobial stewardship in SA: a lack of undergraduate antimicrobial stewardship training for prescribers. The editorial commented on the results of an SA study that revealed the apparent gaps in the antimicrobial stewardship knowledge of participating finalyear medical students.…”

Section: Undergraduate Antimicrobial Stewardship Training For Pharmacmentioning

confidence: 99%

Undergraduate antimicrobial stewardship training for pharmacy students: Creating a foundation for containment of antimicrobial resistance in South Africa

et al. 2017

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Antimicrobial stewardship in rural districts of South Africa: growing a positive culture

Pressentin

Swanepoel

Opie

et al. 2019

South African Family Practice

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Background: The success of medical specialist-led antimicrobial stewardship activities in urban tertiary health care settings has been well documented. The issue of antimicrobial resistance remains an ongoing concern. This has particular relevance in primary health care communities treated from sub-district health services, which are organised around level-one district hospitals. District hospitals are typically staffed by generalist clinicians or medical officers with minimal access to the medical specialist physicians and pathologists who are available in the urban academic centres. Coordinated team-based activities aimed at implementing the South African Antibiotic Stewardship Programme (SAASP) principles of antimicrobial use are necessary. Methods: This open forum article describes the process of growing an institutional culture around antimicrobial stewardship from the perspective of a 90-bed district hospital and a regional referral hospital located in the rural Garden Route District of the Western Cape province. Results: A team of generalist health workers, inclusive of a family physician and medical officers, pharmacists and nursing colleagues, conducted weekly antimicrobial stewardship ward rounds. A clinical pathologist from the National Health Laboratory Service (NHLS), based at George Regional Hospital, consulted on these ward rounds monthly and provided guidance and advice to medical staff via telephone, email and WhatsApp. Undergraduate medical students and registrars in family medicine also attended these ward rounds and learnt from resulting discussions. This strengthened quality of care for patients and provided a platform for shared ongoing learning. Conclusion: This model can be applied to similar settings within South Africa, and further afield.

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Undergraduate antibiotic stewardship training: Are we leaving our future prescribers ‘flapping in the wind’?

Cited by 11 publications

References 13 publications

Veterinary Medical Students’ Perceptions, Attitude and Knowledge about Antibiotic Resistance and Stewardship: How Prepared Are Our Future Prescribers?

Veterinary Medical Students’ Perceptions, Attitude and Knowledge about Antibiotic Resistance and Stewardship: How Prepared Are Our Future Prescribers?

Undergraduate antimicrobial stewardship training for pharmacy students: Creating a foundation for containment of antimicrobial resistance in South Africa

Antimicrobial stewardship in rural districts of South Africa: growing a positive culture

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