Al Ameen Journal of Medical Sciences (Jul 2024)
Knowledge attitude and practice regarding antimicrobial resistance and stewardship among medical students
Abstract
Background: Antimicrobial Resistance (AMR) is one of the top ten global public health threats faced by humanity that requires urgent multisectoral actions. Medical students play a vital role as the future prescribers and stewards of antimicrobials. Their knowledge, attitude and practice (KAP) regarding AMR and Antimicrobial stewardship (AMS) are crucial for ensuring rational and responsible use of antimicrobials in clinical settings. Aim: This study aimed to assess the KAP of medical students regarding AMR and AMS in a tertiary care hospital in North Karnataka, India. Methodology: A cross sectional study design was adopted and Google-form-based questionnaire was administered to MBBS (N=230) students who had passed Microbiology and Pharmacology. The data was analyzed by appropriate descriptive and inferential statistics. Results: Among 230 students, 99% knew that AMR is a global healthcare issue, and that irrational use of antimicrobials contributes to the development of AMR, and have the right concept of AMS. The knowledge regarding prevalence of common resistant phenotypes in India, and antibiotics that are likely to be effective against common resistant phenotypes is varying among the students. Students think that it is important to update about AMR and to adhere to right dose-frequency-duration of antibiotic. Though the students believe that they received adequate training, considering their poor knowledge in some of the topics/ concepts assessed in this questionnaire, they definitely need more focused training to develop better knowledge and practices regarding AMR and AMS. Conclusion: The learning objectives and expected competencies regarding AMR and AMS for medical students need to be clearly delineated and conveyed. They may be made certifiable competencies to ensure effective learning.
