Knowledge, attitude and practice of antibiotics: a questionnaire study among 2500 Chinese students.
Knowledge, attitude and practice of antibiotics: a questionnaire study among 2500 Chinese students.
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DOI：
10.1186/1472-6920-13-163
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发表时间：
2013-12-09
影响因子：
3.6
通讯作者：
Zhang F
中科院分区：
文献类型：
--
作者：
Huang Y;Gu J;Zhang M;Ren Z;Yang W;Chen Y;Fu Y;Chen X;Cals JW;Zhang F
近年来，包括细菌学家在内的许多科学家开始关注抗生素管理的社会方面，特别是普通人群对抗生素使用的知识、态度和实践（KAP）。然而，关于KAP与医学教育之间关系的研究相对较少。本研究通过对中医药大学生和非医学生抗生素使用知信行现状的分析，探讨中医课程对医学生抗生素合理使用的影响。本研究对东北地区3所高校（其中1所为医科大学）的2500名大学生进行了抗生素使用知识、态度和行为的问卷调查。采用Wilcoxon秩和检验和卡方检验分别对抗生素相关的离散变量和分类变量进行分析，以评估医学课程对学生抗生素KAP的影响。2088例（83.5%）受访者（MS-1236和NS-852）被认为可用于分析。MS患者对正确使用抗生素的认知水平显著高于NS患者（P < 0.0001）。然而，根据他们对实际实践的反应，发现MS比NS更依赖抗生素（p < 0.0001）。随着年级的增加，MS对抗生素使用的知识和态度有所改善，同时歧视性使用抗生素的情况也在增加。本研究显示中医课程能显著提高学生对抗生素的认知，并提高他们对滥用抗生素可能导致的抗生素耐药性的关注。该研究还显示，抗生素的过度使用，特别是在更高的医学生中，这意味着在他们的课程中缺乏抗生素使用指导。这也从一定角度解释了医院和社区滥用抗生素的现象。
Recently, many scientists including bacteriologists have begun to focus on social aspects of antibiotic management especially the knowledge, attitude and practice (KAP) among the general population regarding antibiotic use. However, relatively few works have published on the relationship between KAP and medical education. In this study, we analyze the present status of Chinese medical (MS)- and non-medical (NS) students’ KAP on the use of antibiotics, and examine the influence of Chinese medical curriculum on the appropriate usage of antibiotics among medical students. In this study, 2500 students from 3 universities (including one medical university) in Northeastern China participate in the questionnaire survey on students’ knowledge, attitude and practice toward antibiotic usage. Wilcoxon rank sum test and Chi square test were used to analyze questionnaire-related discrete and categorical variables respectively, in order to assess the impact of the medical curriculum on students’ KAP towards antibiotics. 2088 (83.5%) respondents (MS-1236 and NS-852) were considered valid for analysis. The level of knowledge of MS on the proper use of antibiotics was significantly higher than that of NS (p < 0.0001). However, based on their responses on actual practice, MS were found to rely on antibiotics more than NS (p < 0.0001). Moreover, the knowledge and attitude of MS towards antibiotic use improved with the increase in grade with discriminate use of antibiotics concurrently escalating during the same period. This study indicates that Chinese medical curriculum significantly improves students’ knowledge on antibiotics and raises their attention on antibiotic resistance that may result from indiscriminate use of antibiotics. The study also shows an excessive use of antibiotics especially among the more senior medical students, signifying a deficiency of antibiotics usage instruction in their curriculum. This might explain why there are frequent abuses of antibiotics in both hospital and community settings from a certain angle.
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