Antibiotic prescribing and resistance: knowledge level of medical students of clinical years of University Sultan Zainal Abidin, Malaysia
Antibiotic prescribing and resistance: knowledge level of medical students of clinical years of University Sultan Zainal Abidin, Malaysia
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DOI：
10.2147/tcrm.s102013
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发表时间：
2016-01-01
影响因子：
2.8
通讯作者：
Ismail, Salwani
中科院分区：
文献类型：
--
作者：
Haque, Mainul;Rahman, Nor Iza A.;Ismail, Salwani
亚历山大弗莱明博士在1928年发明的青霉素及其在临床实践中的应用挽救了许多人的生命，特别是在第二次世界大战期间。结核病仍然是一个重大的公共卫生威胁，并在过去二十年中重新出现，即使在结核病被认为已被消灭的现代国家。世界卫生组织将抗菌素耐药性定义为微生物对最初有效治疗由微生物引起的感染的抗菌药物的耐药性。因此，目前研究的结果将提供数据，使设计一个新的教育计划，以更好地装备我们的学生在面对抗菌素耐药性。本研究是一项基于问卷的横断面调查，在马来西亚瓜拉丁加奴的苏丹再纳尔阿比丁大学医学院进行。研究参与者是医学学士和外科学士学位课程（MBBS）的第三，第四，第五年的学生，共142 164（86%）医学生返回问卷。具体而言，第三年、第四年和第五年的答复按年份分列分别为29%（41）、39%（55）和32%（45）。在研究受访者中，28%（40人）为男性，其余72%（102人）为女性。总的来说，67%的参与者对“准确诊断感染/败血症”更有信心。“大多数（88%）研究参与者表示，他们希望更多的抗生素选择培训。本研究发现，理论投入与临床实践之间存在差距，学生需要更多的教育干预来面对抗生素耐药性的威胁。
The innovation of penicillin by Dr Alexander Fleming in 1928 and its use in clinical practice saved many lives, especially during the Second World War. Tuberculosis still carries a significant public health threat and has re-emerged over the past two decades, even in modern countries where tuberculosis was thought to be eliminated. The World Health Organization defines antimicrobial resistance as the resistance of a microorganism to an antimicrobial drug that was initially effective for treatment of infections caused by the microbe. Therefore, the findings of the current study will provide data to enable the design of a new educational program to better equip our students in confronting antimicrobial resistance. This study was a cross-sectional, questionnaire-based survey, which was undertaken in the Faculty of Medicine, Universiti Sultan Zainal Abidin, Kuala Terengganu, Malaysia. The study participants were students of the Bachelor of Medicine and Bachelor of Surgery program (MBBS) of Year III, IV, and V. A total of 142 out of 164 (86%) medical students returned the questionnaire. Specifically, the year-wise breakdown of responses was 29% (41), 39% (55), and 32% (45) for Year III, IV, and V, respectively. Among the study respondents, 28% (40) were male, and the remaining 72% (102) were female. In all, 67% of the participants felt more confident in "making an accurate diagnosis of infection/sepsis." The majority (88%) of the study participants stated that they would like more training on antibiotic selection. This research has found that there is a gap between theoretical input and clinical practice; the students are demanding more educational intervention to face the threat of antimicrobial resistance.