Naslov
Do medical students feel prepared to prescribe antibiotics responsibly? Results from a cross- sectional survey in 29 European countries

Autori
Dyar, Oliver J ; Nathwani, Dilip ; Monnet, Dominique L ; Gyssens, Inge C ; Stålsby Lundborg, Cecilia ; Pulcini, Céline ; Wechsler- Fördös, Agnes ; Kostyanev, Tomislav ; Vlahović- Palčevski, Vera ; Kolar, Milan ; Jensen, Ulrich S ; Barlow, Gavin D ; Lutsar, Irja ; Tamm, Liina ; Vuopio, Jaana ; Kern, Winfried V ; Kofteridis, Diamantis P ; Emese, Szilágyi ; Kristinsson, Karl G ; Bergin, Colm ; Pagani, Leonardo ; Viale, Pierluigi ; Dumpis, Uga ; Matulionytė, Raimonda ; Zarb, Peter ; Simonsen, Gunnar S ; Deptula, Aleksander ; Paiva, José- Artur ; Florea, Dragos ; Siegfried, Leonard ; Beović, Bojana ; Paño-Pardo, José Ramón ; Lindsjö, Cecilia ; Huttner, Benedikt

Kolaboracija
ESGAP Student-PREPARE Working Group

Izvornik
Journal of antimicrobial chemotherapy (0305-7453) 73 (2018), 8; 2236-2242

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
antibiotics schools ; medical students ; medical self-report

Sažetak
Background In an era of antibiotic resistance, medical students must be prepared to prescribe antibiotics responsibly. Objectives To assess self-reported preparedness among final-year medical students at European universities, using a comprehensive set of topics related to prudent antibiotic use. Methods We conducted a cross-sectional, multicentre, web-based survey. All medical-degree students in their final year of studies at European universities were eligible to participate. A preparedness score was calculated for each student and mean scores were compared at medical school and country levels. Comparisons were made with national-level data on resistance among four common bacterial pathogens. Results In total, 7328 responses were included from 179/296 eligible medical schools in 29/29 countries. Students felt at least sufficiently prepared on a mean of 71.2% of topics assessed, ranging from 54.8% (Portugal) to 84.8% (Latvia). The proportion of students wanting more education on prudent antibiotic use or general antibiotic use ranged from 20.3% (Sweden) to 94.3% (Slovakia), with a mean of 66.1%, and was strongly inversely correlated with preparedness scores (Spearman’s ρ = −0.72, n = 29, P < 0.001). Higher prevalence rates of antibiotic-non-susceptible bacteria were associated with lower preparedness scores and higher self-reported needs for further education (P < 0.01). Conclusions Most final-year European medical students feel they still need more education on antibiotic use for their future practice as junior doctors. Patterns of preparedness on specific topics were identified, were highly consistent across countries, and correlated with both perceived need for further education and levels of antibiotic resistance among common bacteria.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti, Javno zdravstvo i zdravstvena zaštita

POVEZANOST RADA