Preparedness to prescribe antibiotics responsibly: a comparison between final year medical students in France and Sweden

Collection Location Koleksi E-book & E-Journal Perpustakaan Pusat Unila
Edition Vol. 38, Issue 4
Call Number
ISBN/ISSN 1435-4373
Author(s) Dyar, Oliver James...[et al.]
Subject(s) Biomedicine
Classification NONE
Series Title
GMD E-Journal
Language English
Publisher Springer
Publishing Year 2019
Publishing Place Switzerland
Collation
Abstract/Notes Abstract
Students should graduate from medical school feeling prepared to prescribe antibiotics responsibly. We assessed self-reported
preparedness among students atmedical schools in Europe, and we focus here on the results from students in Sweden and France,
countries with wide differences in the intensity of antibiotic consumption and burden of antibiotic resistance. We conducted a
cross-sectional web-based survey in 2015, based on a comprehensive set of topics related to prudent antibiotic use. All final year
students at a medical school in France or Sweden were eligible to participate. Preparedness scores were calculated for each
student, and mean scores were compared at medical school and country levels. Comparisons were also made on availability of
teaching methods.We received responses from 2085/7653 (response rate 27.2%) students from 31/34 eligible medical schools in
France and 302/1124 (26.9%) students from 7/7 schools in Sweden. The relative ranking order of curriculum topics by preparedness
level was consistent between countries, but students in Sweden had higher self-reported levels of preparedness in 21/27
topics. There was higher availability for eight of nine teaching methods at Swedish medical schools. Students in France were
more likely to report a need for further education on antibiotic use (63.5% vs. 20.3%, p < 0.001). Final year students in France
report lower levels of preparedness, less availability of teaching methods and higher needs for more education on antibiotic use.
Furthermore, we have identified specific areas for improvement in education on prudent antibiotic use in both Sweden and
France.
Keywords Antimicrobial stewardship . Education . Training . Prudent prescribing . Questionnaire
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