IMPACT OF ANTIBIOTIC STEWARDSHIP LEARNING SESSION ON KNOWLEDGE AND ATTITUDE OF UNDERGRADUATE MEDICAL STUDENTS

Main Article Content

Mazhar Hussain
Moazzam Ali Atif
Lubna Akhtar

Abstract

OBJECTIVE: To investigate the impact of antibiotic stewardship session on knowledge and attitude of 3rd year medical and allied health sciences students of Sheikh Zayed Medical College (SZMC) Rahim Yar Khan, Pakistan.


METHODS: This cross-sectional study was conducted on 3rd year undergraduate medical students of SZMC Rahim Yar Khan, Pakistan. Knowledge of antibiotic stewardship was given to them through lectures, tutorials and small group discussion from May 2019 to December 2020. A structured proforma with questionnaires about antibiotic stewardship was given to them to fill in before and after the learning session.


RESULTS: Out of 585, 500 students completed the proforma before and after the antibiotic stewardship session and the response rate was 85%. Although more than 80% of the students had significant knowledge pre- and post-antibiotic stewardship session but only 6% of students were familiar with term antibiotic stewardship pre-session as compared to 93% post-session (p <0.005). After the learning session more than 85% of students significantly agreed that antibiotic stewardship improve patient care, reduce bacterial resistance, decrease hospital stay and cost (p <0.005). Similarly, after session there was significant improvement regarding collaborative approaches for the appropriate use of antibiotics, work with inter professional team, role of each profession for appropriate use of antibiotics, collaboration with microbiologist and pharmacist (p<0.005). There was significant improvement to use broad and narrow spectrum antibiotics on the basis of definite and provisional diagnosis after session (p <0.005).


CONCLUSION: Antibiotic stewardship session has positive impact on knowledge and attitude of undergraduate medical students.

Article Details

How to Cite
Hussain, M., M. A. Atif, and L. Akhtar. “IMPACT OF ANTIBIOTIC STEWARDSHIP LEARNING SESSION ON KNOWLEDGE AND ATTITUDE OF UNDERGRADUATE MEDICAL STUDENTS”. KHYBER MEDICAL UNIVERSITY JOURNAL, vol. 13, no. 3, Sept. 2021, pp. 152-6, doi:10.35845/kmuj.2021.21286.
Section
Original Articles

References

Roca I, Akova M, Baquero F, Carlet J, Cavaleri M, Coenen S, et al. The global threat of antimicrobial resistance: science for intervention. New Microbes New Infect 2015;6:22-9. https://doi.org/10.1016/j.nmni.2015.02.007.

Laxminarayan R, Duse A, Wattal C, Zaidi AK, Wertheim HF, Sumpradit N, et al. Antibiotic resistance—the need for global solutions. Lancet Infect Dis 2013;13(12):1057-98. https://doi.org/10.1016/S1473-3099(13)70318-9.

Ayukekbong JA, Ntemgwa M, Atabe AN. The threat of antimicrobial resistance in developing countries: causes and control strategies. Antimicrob Resist Infect Control 2017;6(1):47. https:// http://doi.org/10.1186/s13756-017-0208-x.

Doron S, Davidson LE. Antimicrobial stewardship. Mayo Clin Proc 2011;86(11): 1113-1123. https://doi.org/10.4065/mcp.2011.0358.

Ocan M, Obuku EA, Bwanga F, Akena D, Richard S, Ogwal-Okeng J, et al. Household antimicrobial self-medication: a systematic review and meta-analysis of the burden, risk factors and outcomes in developing countries. BMC Public Health 2015;15(1):742. https://doi.org/10.1186/s12889-015-2109-3.

MacVane SH. Antimicrobial resistance in the intensive care unit: a focus on gram-negative bacterial infections. J Intensive Care Med 2017;32(1):25-37. https://doi.org/10.1177/0885066615619895.

Cox JA, Vlieghe E, Mendelson M, Wertheim H, Ndegwa L, Villegas MV, et al. Antibiotic stewardship in low-and middle-income countries: the same but different?. Clin Microbiol Infect 2017;23(11):812-8. https://doi.org/10.1016/j.cmi.2017.07.010.

Fatima S, Jamil S, Siddiqui T. Prescribing practices of broad spectrum antibiotics in tertiary care hospital: an observational study. Reyazuddin Res Dev Soc J Pharm Pharmaceut Sci 2018;6(1):07-16.

Chokshi A, Sifri Z, Cennimo D, Horng H. Global contributors to antibiotic resistance. J Glob Infect Dis 2019;11(1):36. https://doi.org/10.4103/jgid.jgid_110_18.

Saleem Z, Hassali MA, Hashmi FK, Godman B, Ahmed Z. Snapshot of antimicrobial stewardship programs in the hospitals of Pakistan: findings and implications. Heliyon 2019;5(7):e02159. https://doi.org/10.1016/j.heliyon.2019.e02159.

Hayat K, Rosenthal M, Gillani AH, Chang J, Ji W, Yang C, et al. Perspective of key healthcare professionals on antimicrobial resistance and stewardship programs: a multicenter cross-sectional study from Pakistan. Front Pharmacol 2019;10:1520. https://doi.org/10.3389/fphar.2019.01520.

Taherdoost H. What is the best response scale for survey and questionnaire design; review of different lengths of rating scale/attitude scale/Likert scale. Int J Acad Res Manag 2019;8(1):1-10.

Dyar OJ, Pulcini C, Howard P, Nathwani D, Nathwani D, Beovic B, et al. European medical students: a first multicentre study of knowledge, attitudes and perceptions of antibiotic prescribing and antibiotic resistance. J Antimicrob Chemother 2014;69:842–6. https://doi.org/10.1093/jac/dkt440.

Srinivasan A, Song X, Richards A, Sinkowitz-Cochran R, Cardo D, Rand C. A survey of knowledge, attitudes, and beliefs of house staff physicians from various specialties concerning antimicrobial use and resistance. Arch Intern Med 2004;164:1451–6. https://10.1001/archinte.164.13.1451.

Ohl CA, Luther VP. Health care provider education as a tool to enhance antibiotic stewardship practices. Infect Dis Clin North Am 2014; 28:177–93. https://doi.org/10.1016/j.idc.2014.02.001.

Schwartz BS, Armstrong WS, Ohl CA, Luther VP. Create allies, IDSA stewardship commitments should prioritize health professions learners. Clin Infect Dis 2015; 61:1626–7. https://doi.org/10.1093/cid/civ640.

Minen MT, Duquaine D, Marx MA, Weiss D. A survey of knowledge, attitudes, and beliefs of medical students concerning antimicrobial use and resistance. Microb Drug Resist 2010;16:285–9. https://doi.org/10.1093/cid/civ640.

Nori P, Guo Y, Ostrowsky B. Creative Collaborations in Antimicrobial Stewardship: Using the Centers for Disease Control and Prevention’s Core Elements as Your Guide. Med Clin North Am 2018;102(5):845-54. https://doi.org/10.1016/j.mcna.2018.05.001.

Melber DJ, Teherani A, Schwartz BS. A comprehensive survey of preclinical microbiology curricula among US medical schools. Clin Infect Dis 2016;63:164–8. http://doi.org/10.1093/cid/ciw262.

Castro-Sánchez E, Drumright LN, Gharbi M, Farrell S, Holmes AH. Mapping antimicrobial stewardship in undergraduate medical, dental, pharmacy, nursing and veterinary education in the United Kingdom. PLoS One 2016;11(2). https://doi.org/10.1371/journal.pone.0150056.

MacDougall C, Schwartz BS, Kim L, Nanamori M, Shekarchian S, Chin-Hong PV. An interprofessional curriculum on antimicrobial stewardship improves knowledge and attitudes toward appropriate antimicrobial use and collaboration. Open Forum Infect Dis 2017;4(1):225. https://doi.org/10.1093/ofid/ofw225.