Knowledge of Antimicrobial Resistance among Veterinary Students and Their Personal Antibiotic Use Practices: A National Cross-Sectional Survey
Knowledge of Antimicrobial Resistance among Veterinary Students and Their Personal Antibiotic Use Practices: A National Cross-Sectional Survey
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DOI：
10.3390/antibiotics8040243
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发表时间：
2019-12-01
影响因子：
4.8
通讯作者：
Fasina, Folorunso O.
中科院分区：
文献类型：
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作者：
Odetokun, Ismail A.;Akpabio, Uduak;Fasina, Folorunso O.
发展中国家面临着严峻的抗菌素耐药性（AMR）挑战。抗菌药物被滥用，但利益相关者对抗菌药物管理的贡献却很低。兽医学生是未来的处方者，他们的知识可能会影响抗击抗菌素耐药性的进展；因此，有必要评估他们对抗菌素耐药性的知识、态度和意识。对尼日利亚兽医学校的本科生进行了多机构问卷调查。它包括人口统计数据、个人抗生素使用情况以及人类和动物对抗菌素耐药性的知识、态度和认识。使用描述性统计和逻辑回归进行分析。在 426 名受访者中，39.2% 的人报告在过去六个月内个人使用过抗菌药物。超过 60% 的知识分数低于平均水平，超过 87% 的人要求在毕业前接受更多有关临床使用和处方的教育、监测抗菌药物的配药、开展抗菌素耐药性研究，并确认人类、动物和环境健康之间的联系。不到 25% 的受访者了解抗菌药物管理和全球抗微生物药物耐药性努力/组织。与其他学生相比，最后一年的学生对人类和动物抗菌药物的了解分别高出 9 倍和 14 倍 (p = 0.001)。与其他学生相比，最后一年的学生对 AMR 的影响因素 (p = 0.001) 拥有更多的知识 (13x) 和意识 (3x)。兽医学生对抗菌素耐药性问题的了解并不令人满意，但仍愿意改进。尼日利亚兽医学校应针对已查明的抗微生物药物耐药性认识、态度和差距进行研究。
The challenge of antimicrobial resistance (AMR) is grave in developing countries. Antimicrobials are misused yet stakeholders' contribution to antimicrobial stewardship is low. Veterinary students are future prescribers and their knowledge could influence progress in combating AMR; hence, there is a need to assess their knowledge, attitude, and awareness of AMR. A multi-institutional questionnaire was administered to undergraduates in Nigerian veterinary schools. It comprised demographics, own personal antibiotic usage, and knowledge, attitude, and awareness of AMR in humans and animals. Descriptive statistics and logistic regression were used for analyses. Of the 426 respondents, 39.2% reported personal antimicrobial use in the previous six months. Over 60% received knowledge scores lower than average and >87% requested more education on clinical use and prescriptions pre-graduation, monitored dispensing of antimicrobials, conducting AMR research, and confirmed link among human, animal, and environmental health. Less than 25% of respondents were aware of antimicrobial stewardship and global efforts/organizations for AMR. Final year students have 9-fold and 14-fold more satisfactory knowledge on antimicrobials in humans and animals compared with other students, respectively (p = 0.001). Final year students also have more knowledge (13x) and awareness of contributory factors (3x) on AMR (p = 0.001) than other students. Unsatisfactory knowledge on AMR issues exists among veterinary students yet willingness to improve was observed. Identified knowledge, attitude, and gaps in AMR awareness should be targeted by veterinary schools in Nigeria.