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

Oliver Dyar 1 Dilip Nathwani 2 Dominique L. Monnet 3 Inge Gyssens 4, 5 Cecilia Stålsby Lundborg 1 Céline Pulcini 6, 7 Agnes Wechsler-Fördös Tomislav Kostyanev Vera Vlahović-Palčevski 8 Milan Kolar Ulrich Jensen Gavin Barlow Irja Lutsar 9 Liina Tamm Jaana Vuopio Winfried Kern 10 Diamantis Kofteridis Szilágyi Emese Karl Kristinsson Colm Bergin 11 Leonardo Pagani 12 Pierluigi Viale 13 Uga Dumpis Raimonda Matulionytė Peter Zarb Gunnar Simonsen Aleksander Deptula José-Artur Paiva 14 Dragos Florea Leonard Siegfried Bojana Beović 15 José Ramón Paño-Pardo Cecilia Lindsjö Benedikt Huttner 16
Abstract : 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.
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https://hal.univ-lorraine.fr/hal-02353207
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Submitted on : Thursday, November 7, 2019 - 11:20:26 AM
Last modification on : Tuesday, March 16, 2021 - 4:54:03 PM

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Oliver Dyar, Dilip Nathwani, Dominique L. Monnet, Inge Gyssens, Cecilia Stålsby Lundborg, et al.. Do medical students feel prepared to prescribe antibiotics responsibly? Results from a cross-sectional survey in 29 European countries. Journal of Antimicrobial Chemotherapy, Oxford University Press (OUP), 2018, 73 (8), pp.2236-2242. ⟨10.1093/jac/dky150⟩. ⟨hal-02353207⟩

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