Sánchez-Fabra David, Dyar Oliver J, Del Pozo José Luis, Amiguet Juan Antonio, Colmenero Juan de Dios, Fariñas María Del Carmen, López-Medrano Francisco, Portilla Joaquín, Praena Julia, Torre-Cisneros Julián, Rodríguez-Baño Jesús, Pulcini Céline, Paño-Pardo José Ramón
Servicio de Medicina Interna, Hospital Clínico Universitario Lozano Blesa, Instituto de Investigación Sanitaria Aragón, Zaragoza, España.
Health Systems and Policy, Department of Public Health Sciences, Karolinska Institutet, Estocolmo, Suecia.
Enferm Infecc Microbiol Clin (Engl Ed). 2019 Jan;37(1):25-30. doi: 10.1016/j.eimc.2017.12.003. Epub 2018 Feb 21.
One of the main tools to optimize antibiotics use is education of prescribers. The aim of this article is to study undergraduate education in the field of infectious diseases, antimicrobial resistance and antibiotic stewardship from the perspective of Spanish medical students.
An anonymous online questionnaire was distributed among sixth grade students using different channels in Europe, within the ESGAP Student-Prepare survey. The questionnaire included 45 questions about knowledge, attitudes and perceptions about diagnosis, bacterial resistance, use of antibiotics and undergraduate training in infectious diseases. We present here the Spanish results.
A total of 441 surveys were received from 21 medical schools. A total of 374 responses (84.8%) were obtained from the 8 most represented faculties, with a response rate of 28.9%. Most students felt adequately prepared to identify clinical signs of infection (418; 94.8%) and to accurately interpret laboratory tests (382; 86.6%). A total of 178 (40.4%) acknowledged being able to choose an antibiotic with confidence without consulting books or guidelines. Only 107 (24.3%) students considered that they had received sufficient training in judicious use of antibiotics. Regarding learning methods, the discussion of clinical cases, infectious diseases units rotatories and small group workshops were considered the most useful, being evaluated favorably in 76.9%, 76% and 68.8% of the cases.
Medical students feel more confident in the diagnosis of infectious diseases than in antibiotic treatment. They also feel the need to receive more training in antibiotics and judicious antibiotic use.
优化抗生素使用的主要工具之一是对开处方者进行教育。本文旨在从西班牙医学生的角度研究传染病、抗菌药物耐药性和抗生素管理领域的本科教育。
在欧洲，通过不同渠道在ESGAP学生准备情况调查中向六年级学生发放了一份匿名在线问卷。问卷包括45个关于传染病诊断、细菌耐药性、抗生素使用和本科培训方面的知识、态度和认知的问题。我们在此展示西班牙的调查结果。
共收到来自21所医学院的441份调查问卷。在8所代表性最强的学院中，共获得374份回复（84.8%），回复率为28.9%。大多数学生认为自己有足够的准备来识别感染的临床症状（418人；94.8%）和准确解读实验室检查结果（382人；86.6%）。共有178人（40.4%）承认能够在不查阅书籍或指南的情况下自信地选择抗生素。只有107名（24.3%）学生认为自己在合理使用抗生素方面接受了足够的培训。关于学习方法，临床病例讨论、传染病科室轮转和小组研讨会被认为是最有用的，分别有76.9%、76%和68.8%的情况得到了积极评价。
医学生在传染病诊断方面比在抗生素治疗方面更有信心。他们也感到需要在抗生素和合理使用抗生素方面接受更多培训。
