Knowledge, attitudes, and practices of Egypt’s future physicians towards antimicrobial resistance (KAP-AMR study): a multicenter cross-sectional study

Autor: Ahmed Assar, Mohamed Mogahed, Abdelrahman Ibrahim Abushouk, Radwa Khalid, Kerollos H Shaker, Mohamed Abdel-Maboud, Amr Menshawy, Asia Hamdy Swelam, Lotfi Aleya, Mohamed Ibrahim Abdelraoof, Mohamed M. Abdel-Daim, Muhammad Eid
Přispěvatelé: International Federation of Medical Students’ Associations - Egypt (IFMSA - Egypt), Alexandria, Egypt, Faculty of Medicine, Menoufia University, Shebin El-Kom, Menoufia, Egypt, Faculty of Medicine, Mansoura University, Mansoura, Egypt, Faculty of Medicine [Al-Azhar University, Cairo], Al-Azhar University [Cairo, Egypt], Faculty of Medicine, South Valley University, Qena, Egypt, Faculty of Medicine, Benha University, Benha, Egypt, Faculty of Medicine, Beni-Suef University, Beni Suef, Egypt, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt, Faculty of Medicine [ASU], Ain Shams University (ASU), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Department of Pharmacology, Suez Canal University, Ismailia, Egypt, Department of Zoology, College of Science, King Saud University, P.O. Box 2455, Riyadh 11451, Saudi Arabia
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Health Knowledge
Attitudes
Practice
medicine.medical_specialty
Students
Medical
Cross-sectional study
Health
Toxicology and Mutagenesis
media_common.quotation_subject
education
010501 environmental sciences
01 natural sciences
Antibiotic resistance
Antimicrobial resistance . Antimicrobial stewardship . Knowledge . Medical students . Practice
Surveys and Questionnaires
Drug Resistance
Bacterial
Sore throat
Humans
Environmental Chemistry
Medicine
Antimicrobial stewardship
Curriculum
0105 earth and related environmental sciences
media_common
business.industry
4. Education
Common cold
General Medicine
Antimicrobial
medicine.disease
Pollution
Anti-Bacterial Agents
3. Good health
Cross-Sectional Studies
Feeling
Family medicine
[SDE]Environmental Sciences
Egypt
Female
medicine.symptom
business
Zdroj: Environmental Science and Pollution Research
Environmental Science and Pollution Research, Springer Verlag, 2020, ⟨10.1007/s11356-020-08534-5⟩
ISSN: 0944-1344
1614-7499
DOI: 10.1007/s11356-020-08534-5⟩
Popis: International audience; Antimicrobial resistance (AMR) is a growing threat that causes over 700,000 deaths per year worldwide. The goal of the current multicenter, cross-sectional study was to identify the knowledge and practice gaps in antimicrobial stewardship among Egypt’s undergraduate medical students. Nine-hundred and sixty-three participants (375 male) from 25 medical schools responded to our self-administered questionnaire. Overall, the majority of students (96%) exhibited fair/satisfactory knowledge and attitude scores towards AMR. However, the most common misconceptions were that skipping one or two antimicrobial doses does not contribute to AMR (43%) and that antimicrobials are the drug of choice for the treatment of sore throat (38.8%). About 36% of the students thought that bacteria cause common cold and influenza. In terms of practices, about 62% of the students reported taking antibiotics when they have cough or sore throat and saving the remaining antibiotic for the next time. About 48% of the students reported that when they start feeling better, they stop the antibiotic course, and 41% stated that they often/sometimes discard the remaining leftover or share the leftover antibiotics with their friends. Interestingly, males had more frequently poorer levels of knowledge than females (p = 0.02). Moreover, students in the clinical science years (p < 0.001), living in urban areas (p= 0.02) or Cairo (p < 0.01) reported better practices than their counterparts. Educational programs about antimicrobial stewardship and the role of healthcareprofessionals in preventing AMR should be introduced early in medical curricula. Further, active educational techniques as clinical scenarios that simulate clinical settings and interactive learning workshops would be more efficient teaching methods.
Databáze: OpenAIRE
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