Is the education of human and animal healthcare professionals about antimicrobial resistance and stewardship adequate during their pre-service training?

Kotwani, Anita; Kapur, Ajita; Singhal, Shubha; Wattal, Chand

doi:10.1016/j.ijmmb.2021.08.458

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…It is therefore important to consider the beliefs and experiences of vet and medical students, and to identify ways of better supporting them to prescribe in line with stewardship principles as they transition into their practitioner roles. For both medical and vet students, the nature and content of stewardship training varies across undergraduate and postgraduate training [ 43 , 44 , 45 ]. Vet and medical students from Europe and Australia rep ort different levels of preparedness for performing responsible antimicrobial prescribing once they qualify [ 46 , 47 , 48 ].…”

Section: Introductionmentioning

confidence: 99%

Assessing Knowledge, Beliefs, and Behaviors around Antibiotic Usage and Antibiotic Resistance among UK Veterinary Students: A Multi-Site, Cross-Sectional Survey

2022

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Antimicrobial resistance (AMR) is a profound threat to human and animal health. Antimicrobial prescribing behaviours are influenced by psychological factors such as knowledge, beliefs, and emotions. As future antimicrobial prescribers, it is important to understand beliefs about AMR and stewardship among veterinary (vet) students. This cross-sectional online survey assessed vet students’ self-reported behavior, knowledge, and beliefs in specific relation to antibiotic resistance (ABR) and antibiotic usage. Participants were early years (first- and second-year; n = 460) and later-years (third- and fourth-year; n = 113) undergraduate vet students from three UK universities. Self-reported antibiotic-related behaviors were responsible among most students. Knowledge about ABR and stewardship was moderate among early years students and good among later years students. Vet students typically believed that vets had less responsibility for both causing and preventing ABR than other groups (animal owners, human medics, and the public). This study offers evidence that vet students (along with other groups) tend to lay greater responsibility for ABR/AMR outside of their own profession, which may impact their future prescribing behaviors. It is vital that AMR and antimicrobial stewardship are embedded across veterinary curricula, and that the One Health nature of the challenge posed by AMR is emphasized to encourage shared responsibility across all stakeholder groups, thereby helping to reduce ‘other-blaming’ for AMR.

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Section: Introductionmentioning

confidence: 99%

Assessing Knowledge, Beliefs, and Behaviors around Antibiotic Usage and Antibiotic Resistance among UK Veterinary Students: A Multi-Site, Cross-Sectional Survey

2022

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“…LEV and CIP were the ATBs that presented the highest grade I (expressing that it is necessary to increase the dose of ATB to be susceptible), a worrying result as they are presenting a close limit of bacterial resistance to these two ATBs and demonstrating the probability of resistance to the dissemination of genes between microorganisms. S. aureus showed resistance in LEV (66.7% However, studies also report that professionals from the different areas involved did not obtain su cient information for this understanding in their respective undergraduate courses to understand the spread of MDR (Kotwani et al, 2021). Training, knowledge of disease transmission and awareness among employees and professionals can inhibit the spread of resistance genes through dairy production.…”

Section: Discussionmentioning

confidence: 99%

Bovine colostrum and multidrug resistance: One Health Vision for human consumption

Jara,

Cardozo,

Kraus

et al. 2024

Preprint

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One Health represents a holistic approach to understanding the interconnectedness of the human-animal-environment triad in the context of achieving health and well-being. In this context, surplus bovine colostrum (BC) not consumed by calves is important due to its potential nutritional value for human consumption. However, it is imperative to ensure their safety and quality to reach the market. It is important to reflect on the presence of pathogenic microorganisms and their multi-resistance to antimicrobials for use in animals and humans, which can have serious consequences for One Health. The objective here was to verify the susceptibility profile of bacteria found in BC and bovine colostrum silage to antibiotics. The strains studied cover the genera Escherichia spp., Klebsiella sp., Enterococcus sp., Staphylococcus spp. and Streptococcus sp.. Susceptibility tests were carried out using the Kirb & Bauer method following guidelines from BrCAST and CLSI (2023). Antibiotics evaluated included quinolones, penicillin, cephalosporins, carbapenems, β-lactamase inhibitors, polypeptides, aminoglycosides, glycopeptides, macrolides, oxalidinones, lincosamines, rifampins, and phenicols. Although the results indicate low overall resistance, the study highlights the presence of multi-resistant bacteria in raw BC and BC silage, highlighting the risk of transmission of these and their resistance genes to humans if rigorous processing measures are not carried out to mitigate the One Health risks.

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“…In Belgium, campaigns to reduce the misuse of antibiotics during the winter season were found to decrease outpatient antibiotic use by 12.8% for twice-a-day use and 42.8% for thrice-a-day use, and decreased antibiotic costs and reduced AMR [ 12 ]. A study evaluating the pre-service education on AMR and antimicrobial stewardship (AMS) among healthcare workers showed low coverage of the topic and poor depth in most curricula [ 13 ]. A study conducted in Myanmar found that only 56.3% of participants from the general public have heard of AMR, only 0.9% correctly answered all five questions about antibiotics, and 58.5% purchased antibiotics without a prescription [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Health Education on the Awareness of Antimicrobial Resistance Among High School Students in Riyadh, Saudi Arabia During 2023: A Quasi-experimental Study

Almutairi,

Okmi,

Alnofaiei

et al. 2023

Cureus

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Introduction Antimicrobial resistance (AMR) is a major health threat, recently declared a crisis by the WHO, and recognized as one of the top 10 threats to global health. One of the strategies to curb AMR is interventional education to raise awareness. Therefore, this study evaluated the impact of interventional education on awareness of antimicrobial resistance among high school students in Riyadh, Saudi Arabia. Methods This was a quasi-experimental study that included 120 high school students as a control group and 120 students as the experimental group. It used a questionnaire pre- and post-educational intervention, which was a lecture by trained healthcare workers. Pearson’s Chi-square test and ANOVA were used to assess the effects of the intervention, and the p-value was set at <0.05 for significance. Results Over half (53.4%) of the controls reported no prior exposure to an antibiotic awareness campaign, compared to 46.6% in the intervention (experimental) group. Half of the participants in both groups were without a family relative who works in the healthcare sector. Almost half (51.2%) in the intervention group used antibiotics compared to 48.2% of controls; 53.3% in the control group reported self-medication compared to 46.7% in the intervention group. We found a statistically significant increase in the overall mean scores regarding knowledge of antibiotics resistance before and after the education intervention in the control group (p<0.001) and intervention group (p<0.001). Post-intervention, there was a significant reduction in the mean scores of misbeliefs about antibiotic use (p<0.001). We found an improvement in the perception scores toward AMR and antibiotic resistance post-educational intervention (P=0.008), and the perception difference remained significant between the two study groups (p=0.002). Conclusion These findings showed that interventional education effectively raises awareness, knowledge, and perceptions toward AMR. Therefore, public health, medical, and scientific professionals in Saudi Arabia are urged to emphasize education to fight AMR, in addition to other strategies.

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Is the education of human and animal healthcare professionals about antimicrobial resistance and stewardship adequate during their pre-service training?

Cited by 5 publications

References 18 publications

Assessing Knowledge, Beliefs, and Behaviors around Antibiotic Usage and Antibiotic Resistance among UK Veterinary Students: A Multi-Site, Cross-Sectional Survey

Assessing Knowledge, Beliefs, and Behaviors around Antibiotic Usage and Antibiotic Resistance among UK Veterinary Students: A Multi-Site, Cross-Sectional Survey

Bovine colostrum and multidrug resistance: One Health Vision for human consumption

The Effects of Health Education on the Awareness of Antimicrobial Resistance Among High School Students in Riyadh, Saudi Arabia During 2023: A Quasi-experimental Study

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