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1306. Antimicrobial Resistance Knowledge, Attitudes, and Perceptions Among Medical Students in Southern India

BACKGROUND: Antimicrobial resistance (AMR) is a major public health problem in India. The World Health Organization recognizes that the education of medical students on antimicrobial stewardship plays a critical role in the efforts to combat AMR, but data related to knowledge, attitudes and practice...

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Autores principales: Menden, Olivia, Prabhu, Sumathi, Shetty, Veena, Pandith, Chaithra, Giri, Shobha, Shetty, Avinash
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252629/
http://dx.doi.org/10.1093/ofid/ofy210.1139
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author Menden, Olivia
Prabhu, Sumathi
Shetty, Veena
Pandith, Chaithra
Giri, Shobha
Shetty, Avinash
author_facet Menden, Olivia
Prabhu, Sumathi
Shetty, Veena
Pandith, Chaithra
Giri, Shobha
Shetty, Avinash
author_sort Menden, Olivia
collection PubMed
description BACKGROUND: Antimicrobial resistance (AMR) is a major public health problem in India. The World Health Organization recognizes that the education of medical students on antimicrobial stewardship plays a critical role in the efforts to combat AMR, but data related to knowledge, attitudes and practices (KAP) regarding AMR is limited in India. METHODS: This cross-sectional study was conducted in July-August 2017. Medical students at K.S. Hegde Medical Academy in Mangalore, India were surveyed with an anonymous questionnaire using a convenience sampling method involving second year, third year, fourth year, and intern students (n = 347). Data about demographics, sources of information, and antimicrobial training were collected. In addition, AMR knowledge and attitude scores were calculated. A Mann–Whitney U test was used to determine factors that were associated with significant differences in knowledge scores and attitude scores. The primary outcome measure of this study was to determine positive predictors of increased confidence in prescribing antimicrobials in the future using multivariate analysis. RESULTS: A total of 347 surveys were analyzed (response rate of 98.9%). The mean total knowledge score was 11.47 out to 31 with a standard deviation (SD) of 3.39, and the mean attitude score was 5.99 out of 16 (SD = 4.207). While 13.2% of students were “very familiar” or “familiar” with the term “Antimicrobial Stewardship,” and 88.2% of students said they would like more antimicrobial education in medical school. On multivariate analysis, female gender (OR 2.51, 95% CI (1.51, 4.18)), clinical vignette antimicrobial knowledge scores (OR 1.26, 95% CI (1.05, 1.51)), positive attitude scores (OR 0.94, 95% CI (0.88, 0.995)), awareness of Infection Control Policy (OR 1.87, 95% CI (1.09, 3.22)), and > 3 years of antimicrobial prescribing clinical training (OR 2.48, 95% CI (1.29, 4.75)) were predictors of confidence in antimicrobial prescribing. CONCLUSION: This study identifies several possible interventions for improving confidence such as increased clinical knowledge through clinical experience, increased awareness of infection control policies and antimicrobial guidelines, and empowering students to be antimicrobial stewards to combat AMR. DISCLOSURES: All authors: No reported disclosures.
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spelling pubmed-62526292018-11-28 1306. Antimicrobial Resistance Knowledge, Attitudes, and Perceptions Among Medical Students in Southern India Menden, Olivia Prabhu, Sumathi Shetty, Veena Pandith, Chaithra Giri, Shobha Shetty, Avinash Open Forum Infect Dis Abstracts BACKGROUND: Antimicrobial resistance (AMR) is a major public health problem in India. The World Health Organization recognizes that the education of medical students on antimicrobial stewardship plays a critical role in the efforts to combat AMR, but data related to knowledge, attitudes and practices (KAP) regarding AMR is limited in India. METHODS: This cross-sectional study was conducted in July-August 2017. Medical students at K.S. Hegde Medical Academy in Mangalore, India were surveyed with an anonymous questionnaire using a convenience sampling method involving second year, third year, fourth year, and intern students (n = 347). Data about demographics, sources of information, and antimicrobial training were collected. In addition, AMR knowledge and attitude scores were calculated. A Mann–Whitney U test was used to determine factors that were associated with significant differences in knowledge scores and attitude scores. The primary outcome measure of this study was to determine positive predictors of increased confidence in prescribing antimicrobials in the future using multivariate analysis. RESULTS: A total of 347 surveys were analyzed (response rate of 98.9%). The mean total knowledge score was 11.47 out to 31 with a standard deviation (SD) of 3.39, and the mean attitude score was 5.99 out of 16 (SD = 4.207). While 13.2% of students were “very familiar” or “familiar” with the term “Antimicrobial Stewardship,” and 88.2% of students said they would like more antimicrobial education in medical school. On multivariate analysis, female gender (OR 2.51, 95% CI (1.51, 4.18)), clinical vignette antimicrobial knowledge scores (OR 1.26, 95% CI (1.05, 1.51)), positive attitude scores (OR 0.94, 95% CI (0.88, 0.995)), awareness of Infection Control Policy (OR 1.87, 95% CI (1.09, 3.22)), and > 3 years of antimicrobial prescribing clinical training (OR 2.48, 95% CI (1.29, 4.75)) were predictors of confidence in antimicrobial prescribing. CONCLUSION: This study identifies several possible interventions for improving confidence such as increased clinical knowledge through clinical experience, increased awareness of infection control policies and antimicrobial guidelines, and empowering students to be antimicrobial stewards to combat AMR. DISCLOSURES: All authors: No reported disclosures. Oxford University Press 2018-11-26 /pmc/articles/PMC6252629/ http://dx.doi.org/10.1093/ofid/ofy210.1139 Text en © The Author(s) 2018. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Abstracts
Menden, Olivia
Prabhu, Sumathi
Shetty, Veena
Pandith, Chaithra
Giri, Shobha
Shetty, Avinash
1306. Antimicrobial Resistance Knowledge, Attitudes, and Perceptions Among Medical Students in Southern India
title 1306. Antimicrobial Resistance Knowledge, Attitudes, and Perceptions Among Medical Students in Southern India
title_full 1306. Antimicrobial Resistance Knowledge, Attitudes, and Perceptions Among Medical Students in Southern India
title_fullStr 1306. Antimicrobial Resistance Knowledge, Attitudes, and Perceptions Among Medical Students in Southern India
title_full_unstemmed 1306. Antimicrobial Resistance Knowledge, Attitudes, and Perceptions Among Medical Students in Southern India
title_short 1306. Antimicrobial Resistance Knowledge, Attitudes, and Perceptions Among Medical Students in Southern India
title_sort 1306. antimicrobial resistance knowledge, attitudes, and perceptions among medical students in southern india
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6252629/
http://dx.doi.org/10.1093/ofid/ofy210.1139
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