Pasteurien College, Suzhou Medical College, Soochow University, Suzhou, China.
Department of Biostatistics, School of Public Health, Medical College of Soochow University, Suzhou, China.
Front Public Health. 2022 Oct 24;10:1010582. doi: 10.3389/fpubh.2022.1010582. eCollection 2022.
This study described the knowledge, attitude, practice regarding antimicrobial resistance (AMR) among medical students between 2017 and 2022 in East China. A questionnaire-based survey was conducted with a total of 1,066 respondents. We highlighted that the undergraduates had a significant increase in the knowledge of antimicrobial resistance during the 5 years from 2017 to 2022 ( < 0.001). The majority of the assertions about the AMR were correctly identified by respondents. However, gaps were still observed in the issues of antimicrobial targets and bacterial transmission. In addition, overconfident attitudes and inappropriate behaviors of antimicrobial overuse and misuse were observed in the respondents. A number of 30.2% to 45.2% of the respondents asserted that there is no risk of AMR as long as the antimicrobials are taken correctly, and a proportion of the students (25.3% in 2022; 69.3% in 2017, < 0.001) declared to buy antimicrobials from friends or family members to treat the same illness. Finally, spearman correlation coefficient was enrolled to compare the correlation of the student's KAP. Results showed that the students' knowledge of antimicrobials had a correlation with attitude ( = 0.0126) and practice ( < 0.001), suggesting that public education on knowledge could influence the behaviors among the medical students. Taken all together, our findings show a need to strengthen the medical students' cogitation on antimicrobial attitude and practice of appropriate usage as an essential strategy to reduce intractable public health problems. Additional curriculum reforms will be needed to add more specific AMR-related lectures to raise awareness amongst medical students in China.
本研究描述了 2017 年至 2022 年期间华东地区医学生对抗微生物药物耐药性（AMR）的知识、态度和实践。采用基于问卷的调查，共调查了 1066 名受访者。我们强调，从 2017 年到 2022 年，本科生对抗微生物药物耐药性的知识有了显著提高（<0.001）。大多数关于 AMR 的说法都被受访者正确识别。然而，在抗菌药物靶点和细菌传播问题上仍存在差距。此外，受访者中还存在对抗菌药物过度使用和滥用的过度自信态度和不当行为。相当比例的受访者（30.2%至 45.2%）认为，只要正确使用抗菌药物，就不存在 AMR 的风险，而有一部分学生（2022 年为 25.3%；2017 年为 69.3%，<0.001）表示会从朋友或家人那里购买抗菌药物来治疗相同的疾病。最后，采用斯皮尔曼相关系数比较学生 KAP 的相关性。结果表明，学生对抗菌药物的知识与态度（=0.0126）和实践（<0.001）相关，这表明对抗菌药物知识的公众教育可能会影响医学生的行为。综上所述，我们的研究结果表明，需要加强医学生对抗菌药物的态度和适当使用的实践认知，这是减少公共卫生难题的重要策略。需要进行额外的课程改革，增加更多与 AMR 相关的讲座，以提高中国医学生的认识。
