Antibiotic use: a cross-sectional survey assessing the knowledge, attitudes and practices amongst students of a school of medicine in Italy.
Antibiotic use: a cross-sectional survey assessing the knowledge, attitudes and practices amongst students of a school of medicine in Italy.
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DOI：
10.1371/journal.pone.0122476
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Siliquini R
中科院分区：
文献类型：
--
作者：
Scaioli G;Gualano MR;Gili R;Masucci S;Bert F;Siliquini R
由于抗生素耐药性已成为世界范围内的公共卫生问题，并且部分与医生缺乏知识有关，因此有必要将我们的注意力集中在医疗保健专业的学生身上。本研究旨在评估医学院学生对抗生素使用和抗生素耐药性的知识和态度。 2013年12月，对都灵大学医学院的医学、牙科、护理和其他医疗保健专业的学生进行了一项横断面研究。所有学年的学生都参加了这项研究。在常规讲座期间提交调查问卷（仅对某一特定日期参加课程的学生进行调查），并使用 StataMP11 统计软件对收集的数据进行分析。总共有 1,050 名学生接受了采访。回复率为100%。大约 20% 的样本表示抗生素适合治疗病毒感染，15% 的学生表示症状减轻时会停止服用这些药物。多变量分析结果显示，女性比男性更有可能仅在处方时服用抗生素（OR 1.43，95% CI 1.04–1.98）。有趣的是，有亲戚从事健康相关领域工作的学生，以及去年至少服用过一个疗程抗生素的学生，仅根据处方服用这些药物的可能性较低（分别为 OR = 0.69 95% CI：0.49–0.97 和 OR = 0.38 95% CI：0.27–0.53）。本文展示了医疗保健专业的学生如何不实践他们所知道的知识。由于这些学生将成为公民和患者的行为典范，因此在整个学习过程中提高对这一问题的认识非常重要。建议在医学院的核心课程中引入有关抗生素的具体课程和培训。
Since antibiotic resistance has become a worldwide public health concern and is in part related to physicians’ lack of knowledge, it is essential to focus our attention on healthcare profession students. The present study aims at evaluating the knowledge and attitudes of the School of Medicine’s students towards antibiotic usage and antibiotic resistance. In December 2013, a cross sectional study was conducted amongst medical, dental, nursing and other health care profession students of the School of Medicine at the University of Torino. Students of all the academic years took part in this study. Questionnaires were submitted during regular lectures (only students who attended courses on one specific day were surveyed) and the data collected was analyzed using StataMP11 statistical software. Overall, 1,050 students were interviewed. The response rate was 100%. Around 20% of the sample stated that antibiotics are appropriate for viral infections and 15% of the students that they stop taking those drugs when symptoms decrease. Results of the multivariate analyses showed that females were more likely than males to take antibiotics only when prescribed (OR 1.43, 95% CI 1.04–1.98). Interestingly, students with a relative working in a health-related field, as well as those who took at least one course of antibiotics in the last year, had a lower probability of taking those drugs only under prescription (OR = 0.69 95% CI: 0.49–0.97 and OR = 0.38 95% CI: 0.27–0.53, respectively). The present paper shows how healthcare profession students do not practice what they know. Since those students will be a behavioral model for citizens and patients, it is important to generate more awareness around this issue throughout their studies. It would be advisable to introduce a specific course and training on antibiotics in the core curriculum of the School of Medicine.
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