Knowledge of, and attitudes towards, antimicrobial resistance among medical students: a systematic review
PHE ePoster Library. Chia E. Apr 10, 2019; 257503; 15402
Elena Chia
Elena Chia
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Abstract Introduction
The inappropriate prescribing of antibiotics is a key contributor to antimicrobial resistance (AMR). The World Health Organisation has emphasised the value of education of healthcare professionals and students in promoting awareness and good practice. We systematically reviewed studies assessing medical students' knowledge of, and attitudes towards, AMR.
A systematic search of Medline, Embase, Web of Science and Cochrane CENTRAL was conducted in September 2018. Eligibility criteria for reports were as follows: included undergraduate medical students (any year of study, any country); and made an assessment of knowledge/attitudes of AMR, or of antibiotics in general. Non-English reports and interventional studies not reporting baseline assessments were excluded. A narrative synthesis was conducted. Similar questions across studies were identified and the results summarised as the median/IQR of the percentage agreement.
Of 2908 search results, 27 studies (including >16,000 students) were identified, all of which were cross-sectional, questionnaire-based surveys. Eight included only final-year medical students, and the majority (16/27, 59%) were conducted in Asia. Knowledge of AMR was broadly good across studies, although a wide variation was noted. For example, there was general agreement that inappropriate antimicrobial use contributes to AMR (median 92%, IQR 84-97%, n=9), whilst fewer believed that poor infection control practices could contribute to the spread of AMR (medial 76%, IQR 64-83%, n=10). Attitudes towards AMR were generally appropriate, although interestingly more students felt AMR was more of a problem nationally than it was in their local hospitals (92% [IQR 85-94%] vs. 75% [IQR 62-82%]).ConclusionWhilst medical students appear to acknowledge the issue of AMR, there is a tendency to see it as more of a problem elsewhere. This review highlights the scope for improved undergraduate educational interventions as a means of helping reducing AMR.Registration: PROSPERO (CRD42018116152) Funding Funding: SS is funded by an NIHR Clinical Lectureship
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