Current Antimicrobial Stewardship Practice and Education in Russian Hospitals: Results of a Multicenter Survey
Ivan Palagin,
Svetlana Rachina,
Marina Sukhorukova,
Irina Nizhegorodtseva,
Ulyana Portnyagina,
Svetlana Gordeeva,
Elena Burasova,
Vladimir Bagin,
Olga Domanskaya,
Dilip Nathwani,
Roman Kozlov
Affiliations
Ivan Palagin
Institute of Antimicrobial Chemotherapy, Smolensk State Medical University, 214019 Smolensk, Russia
Svetlana Rachina
Sechenov First Moscow State Medical University, 119435 Moscow, Russia
Marina Sukhorukova
Institute of Antimicrobial Chemotherapy, Smolensk State Medical University, 214019 Smolensk, Russia
Irina Nizhegorodtseva
State Budgetary Healthcare Institution “Regional Clinical Hospital #2”, The Ministry of Health of Krasnodar Region, 350012 Krasnodar, Russia
Ulyana Portnyagina
State Budgetary Institution of the Republic of Sakha (Yakutia) “Regional Hospital #2 Emergency Medical Center”, 677005 Yakutsk, Russia
Svetlana Gordeeva
State Regional Budgetary Healthcare Institution “Murmansk Regional Clinical Hospital n.a. P.A. Bayandin”, 183032 Murmansk, Russia
Elena Burasova
State Autonomous Healthcare Institution “Republican Clinical Hospital n.a. N.A. Semashko”, The Ministry of Health of the Republic of Buryatia, 670031 Ulan-Ude, Russia
Vladimir Bagin
Medical Association “New Hospital”, 620109 Ekaterinburg, Russia
Olga Domanskaya
Kuzbas Children’s Clinical Hospital n.a. Professor Y.E. Malakhovskiy, 654063 Novokuznetsk, Russia
Dilip Nathwani
Ninewells Hospital and Medical School, Dundee DD1 9SY, Scotland, UK
Roman Kozlov
Institute of Antimicrobial Chemotherapy, Smolensk State Medical University, 214019 Smolensk, Russia
Proper antibiotic usage education and training of medical students and healthcare professionals is the cornerstone to implement antimicrobial stewardship (AMS) programs worldwide. We conducted this voluntary and anonymous survey on current and preferred educational provision of AMS in Russia. Among 1358 polled respondents from six participating Centers located in geographically remote Federal Districts of Russia, the majority were nurses (52.8%) and doctors (42.0%). Results of the survey demonstrated better coverage of education in AMS on an undergraduate level (57.1%). More than half of respondents in total (52.4%) stated they had not received any postgraduate training. Those 38.4% respondents who received postgraduate teaching in AMS stated that it had been provided substantially by an employing hospital (28.4%) or by a medical university/college (22.3%). According to the conducted survey, the methods of education in AMS in Russian Federation mainly include traditional face-to-face lectures, presentations and provision with clinical guidelines, recommendations and printed materials. The involvement of e-learning and web-based online approaches was lacking. The survey allowed us the identify the key problems associated with training of healthcare workers in this field, in particular the varying availability of under- and postgraduate education in different parts of Russia.
