School of Public Health, Peking University, Beijing, China.
School of Health Humanities, Peking University, Beijing, China.
Microb Drug Resist. 2019 Dec;25(10):1458-1464. doi: 10.1089/mdr.2018.0411. Epub 2019 Aug 1.
Antimicrobial resistance (AMR) has become a serious global health issue, which is exacerbated globally by the overuse and misuse of antimicrobial drugs. Improving awareness and understanding AMR through effective communication, education, and training is recommended by the World Health Organization as one of five key strategies of tackling AMR. This study explores the knowledge and perception of AMR, its educational status, and any potential associations among Chinese medical students. A total of 2,616 students from four medical schools across China were enrolled in this study. Data reveal a general lack of knowledge about both antibiotic use and AMR that is related to school type, major, and clinical experience. Students' AMR knowledge was associated with their perception of issues in this area as well as their educational status. Results of a linear regression model show that learning about AMR in class (OR: 1.85, 95% CI: 1.47-2.23) and the hours spent learning about these issues (OR: 0.11, 95% CI: 0.07-0.15) were both positively associated with enhanced knowledge. A significant lack of knowledge about AMR is found among Chinese medical students, associated with their perception of these issues. The status of AMR education in medical schools nationally is therefore less than satisfactory and positively correlated with general knowledge of this issue.
抗微生物药物耐药性（AMR）已成为严重的全球卫生问题，全球范围内抗微生物药物的过度和不当使用使这一问题进一步恶化。世界卫生组织建议，提高对抗微生物药物耐药性的认识和理解，通过有效沟通、教育和培训，是应对抗微生物药物耐药性的五项关键策略之一。本研究探讨了中国医学生对抗微生物药物耐药性的认识和感知、教育状况，以及它们之间是否存在任何关联。本研究共纳入中国四所医学院校的 2616 名学生。数据显示，学生对抗生素使用和抗微生物药物耐药性的一般知识都比较匮乏，且与学校类型、专业和临床经验有关。学生对抗微生物药物耐药性的了解与其对这一领域问题的看法以及他们的教育状况有关。线性回归模型的结果表明，课堂上学习抗微生物药物耐药性（OR：1.85，95%CI：1.47-2.23）和学习这些问题的时间（OR：0.11，95%CI：0.07-0.15）与知识的提高呈正相关。中国医学生对抗微生物药物耐药性的认识明显不足，这与他们对这些问题的看法有关。因此，全国医学院校的抗微生物药物耐药性教育状况不尽人意，与对抗微生物药物耐药性的普遍认识呈正相关。
