Knowledge, attitude and perception of medical and dental undergraduates about antimicrobial stewardship

Sharma, Kopal; Jain, Pooja; Sharma, Amit

doi:10.4103/0253-7613.169572

Cited by 25 publications

(31 citation statements)

References 12 publications

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“…They were conscientious on the fact that, as future healthcare providers, they would participate in the fight against AMR starting from their early education. The findings of this study are in accordance with those reported in studies conducted in India respectively among medical, dental and pharmacy students; that suggested the review of curricula in undergraduate classes to boost their knowledge on antimicrobial use and prescribing [10,14] . In fact, when current study participants were asked if "Antibiotics are indicated to reduce any kind of pain and inflammation", a correct answer was obtained from only 41.9% of respondents.…”

Section: Discussionsupporting

confidence: 90%

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Knowledge and attitudes towards antibiotic use and resistance among undergraduate healthcare students at University of Rwanda

Nisabwe

Brice

Umuhire

et al. 2020

J of Pharm Policy and Pract

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Background: Antimicrobial resistance (AMR) is an imminent threat to modern medicine. As the efficacy of treatment regimens is reduced, mortality and morbidity attributed to infectious diseases is expected to rise dramatically across the globe. Antimicrobial stewardship and good prescription practices are critical to conserving available therapeutics; it is appropriate, therefore, to appraise our attitudes and knowledge of antimicrobial resistance, particularly for the future healthcare practitioners. Methods: This is a descriptive cross-sectional study that was conducted among 282 medicals, dental and pharmacy students from the University of Rwanda. Questionnaires were used to collect data from the 4th to 29th March 2017. Results: Students from Level 3 to level 6 have demonstrated a good knowledge on antibiotics and antimicrobial resistance. Generally, 95% (n = 218) agreed that the inappropriate use of antibiotics could lead to antibiotic resistance. It was found that 96% (n = 220) of the respondents had heard about AMR outside their degree courses. 49% (n = 112) of the participants reported that they are able to purchase antibiotics without a prescription. 96% (n = 220) agreed that it was important for healthcare students to be knowledgeable about antimicrobial resistance. Perhaps most surprisingly, it was found that 83% (n = 191) of participants were unfamiliar with the concept of antimicrobial stewardship and 49% (n = 21) had not yet discussed antimicrobial resistance as part of their education, albeit only 1% (n = 3) was completely unfamiliar with the term. Furthermore, 38% (n = 86) did not support that the antibiotics were overused in Rwanda, 23% (n = 10) did not agree that inappropriate antimicrobial use contributed to antimicrobial resistance, and 50% (n = 22) of participants agreed that antibiotics were indicated in the treatment of pain and inflammation.

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Section: Discussionsupporting

confidence: 90%

“…Another study carried out in India has revealed a gap in the knowledge regarding antibiotic use among medical and dental students. Thus, they recommended to reinforce the curriculum by introducing more lectures on antimicrobial stewardship [10].…”

Section: Introductionmentioning

confidence: 99%

Knowledge and attitudes towards antibiotic use and resistance among undergraduate healthcare students at University of Rwanda

Nisabwe

Brice

Umuhire

et al. 2020

J of Pharm Policy and Pract

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“…This study provides an insight into the knowledge, perception and attitude of antimicrobial agents use and resistance among under-graduate students, interns and post-graduate students in this medical college. It was observed that knowledge regarding antimicrobial agent use and resistance was good but not excellent among the medical students, which is consistent with observation made by Sharma K et al 7 More than 95% of the students have heard of antimicrobial resistance, but only 71.76% of the students think that antibiotics should not be used to treat viral infections; similar results were seen by Kumar BVD et al 8 Only 49.41% of the participants reported to have heard about Antimicrobial Stewardship Programme, this shows the lack of education and implementation strategies regarding various stewardship programs; similar observation was made by Badar V et al 9 Attitude regarding antimicrobial use and resistance was fairly positive. The clinical effectiveness of antimicrobials depends on their correct use i.e.…”

Section: Discussionsupporting

confidence: 89%

Knowledge, perception and attitude of under-graduate and post-graduate medical students about antimicrobial use, resistance and stewardship at a tertiary care teaching hospital in rural Telangana, India

Chundru¹,

Shailendra²,

Tirumalareddy³

et al. 2019

Int J Basic Clin Pharmacol

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Background: Inappropriate antimicrobial use contributes to antimicrobial resistance. Assessing knowledge, perception and attitude regarding antimicrobial use serves as a prelude to design and implement educational modules to promote rational antimicrobial use.Methods: An online questionnaire based cross-sectional study involving 338 medical students; under-graduates, interns and post-graduates was conducted in a medical college in south India. Chi-square test or Fisher exact test were used to determine association between variables.Results: Fifty percent of the participants (170/338) responded to the questionnaire. The responses were similar across undergraduates, interns and post-graduates. Majority of the responders had good knowledge regarding use of antimicrobials. Most of the participants (92.35%) expressed that a broad-spectrum antimicrobial should be started to treat a serious infection while awaiting culture and sensitivity reports and 88.82% did not prefer to use antimicrobial agents for common cold. Similarly, most of the respondents (93.56%) were aware of the fact that antimicrobial resistance is a global problem. However, many of them (74.71%) were not aware of antimicrobial stewardship programme in their college.Conclusions: This study revealed that most of the students had good knowledge, fair perception and positive attitude regarding the use of, and resistance to antimicrobial agents but not about stewardship programmes. Proactive measures are required to sensitise medical students on antimicrobial stewardship programmes.

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“…7,8 There are large number of studies to assess the KAP of medical students on antibiotic resistance as well as stewardship but few studies are there to measure the same in dental students. [9][10][11][12] Keeping all these in mind this study was initiated to assess the KAP of rational antibiotic use among undergraduate dental students in a dental college hospital.…”

Section: Introductionmentioning

confidence: 99%

A questionnaire based study to assess the knowledge, attitude and practice (KAP) of rationale use of antibiotics among undergraduate dental students in a tertiary care dental hospital of South India

Shaik

Meher

2017

Int J Basic Clin Pharmacol

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Background: To assess the knowledge, attitude and practice of rational use of antibiotics among dental students and make necessary interventions suitable to meet their need and aspiration.Methods: Questionnaire was administered to the students of a dental college hospital to assess their knowledge, attitude and practice about rational use of antibiotics. Data was analysed after entering in to a Microsoft excel sheet and by using descriptive statistics.Results: The response rate of our study was 100%. Large majority (94%) of the students knew that antibiotics were useful in bacterial infections. More than half of the students (63.7%) believed that antibiotic resistance is a threat to mankind. A very less percentage (23.3%) of students had ever attended (Continuous Medical Education) CME regarding the rational use of antibiotics.Conclusions: This study showed that that most of the students possessed average knowledge about antibiotics. Their attitude was also not satisfactory towards rational use of antibiotics and same was true for the practice as well. Educational intervention is utmost essential to improve their KAP regarding rational use of antibiotics.

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Knowledge, attitude and perception of medical and dental undergraduates about antimicrobial stewardship

Cited by 25 publications

References 12 publications

Knowledge and attitudes towards antibiotic use and resistance among undergraduate healthcare students at University of Rwanda

Knowledge and attitudes towards antibiotic use and resistance among undergraduate healthcare students at University of Rwanda

Knowledge, perception and attitude of under-graduate and post-graduate medical students about antimicrobial use, resistance and stewardship at a tertiary care teaching hospital in rural Telangana, India

A questionnaire based study to assess the knowledge, attitude and practice (KAP) of rationale use of antibiotics among undergraduate dental students in a tertiary care dental hospital of South India

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