Institute of Hygiene and Environmental Medicine, Charité - Universitätsmedizin Berlin Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
Institute for Hygiene and Microbiology, University of Würzburg, Würzburg, Germany.
Antimicrob Resist Infect Control. 2023 May 17;12(1):48. doi: 10.1186/s13756-023-01251-x.
The impact of an appropriate use of antibiotics on the prevention of antimicrobial resistance (AMR) has been demonstrated. Surveys have shown, however, that medical students do not feel sufficiently trained to use antibiotics wisely. The aims of our study were (1) to describe what medical students currently know about appropriate antibiotic use, and (2) to identify students' learning preferences as a basis for developing student-centred teaching modules to convey the basics of AMR prevention.
We performed an online survey at Charité Universitätsmedizin Berlin and the Julius-Maximilians-University Würzburg on the knowledge, attitudes, and behaviour (KAB) of medical students concerning AMR, antibiotic treatment options, and their perceptions of AMR topics addressed in the medical curriculum. Participants were able to fill out an online questionnaire between December 2019 and February 2020. In addition, we conducted focus group discussions with lecturers and medical students in winter 2019/2020 to identify AMR-related learning needs and preferences. Data were analysed descriptively.
Overall, 356 students (response rate 5.1%) participated in the KAB survey. Of these, 192 (54%) strongly agreed that the topic of AMR is relevant to students' clinical practice and 48% (171/355) stated that their future antibiotic prescription behaviour will have an influence on AMR development in their region. Participating students seemed to be interested in the topic of AMR and antibiotic therapy. But even of them, only 46% answered the question about the length of antibiotic use for community-acquired pneumonia correctly and 57% the question about the appropriate use of antibiotics in Staphylococcus aureus infections. Focus group discussions with students (n = 7) and lecturers (n = 9) identified a lack of competence in the responsible use of antibiotics and the prevention of AMR. Respondents stated that the teaching formats and AMR-related content should emphasize clinical applications, interaction with peers/clinicians, and repeated formative feedback from instructors.
Our results show that even medical students who were interested in the AMR problem were not able to use antibiotics appropriately due to gaps in knowledge and a lack of clinical skills. Based on the insights gained in the learning preferences of students and their content priorities, improved student-centred teaching materials should be developed.
适当使用抗生素对预防抗菌药物耐药性（AMR）的影响已得到证实。然而，调查显示，医学生觉得自己没有接受过足够的培训来明智地使用抗生素。我们研究的目的是：（1）描述医学生目前对合理使用抗生素的了解情况，（2）确定学生的学习偏好，以便为他们开发以学生为中心的教学模块，传授 AMR 预防的基础知识。
我们在柏林夏里特医科大学和维尔茨堡的尤利乌斯-马克西米利安-维尔茨堡大学进行了一项关于医学生对抗生素使用、抗生素治疗选择以及他们对医学课程中 AMR 相关主题的看法的知识、态度和行为（KAB）的在线调查。参与者可以在 2019 年 12 月至 2020 年 2 月期间填写在线问卷。此外，我们在 2019/2020 年冬季与讲师和医学生进行了焦点小组讨论，以确定与 AMR 相关的学习需求和偏好。数据进行了描述性分析。
共有 356 名学生（回应率为 5.1%）参与了 KAB 调查。其中，192 名（54%）强烈认为 AMR 主题与学生的临床实践相关，48%（171/355）表示他们未来的抗生素处方行为将对他们所在地区的 AMR 发展产生影响。参与的学生似乎对 AMR 和抗生素治疗这一主题很感兴趣。但即使是他们，也只有 46%的人正确回答了社区获得性肺炎抗生素使用时间的问题，57%的人正确回答了金黄色葡萄球菌感染中抗生素合理使用的问题。与学生（n=7）和讲师（n=9）进行的焦点小组讨论发现，在负责任地使用抗生素和预防 AMR 方面存在能力差距。受访者表示，教学形式和与 AMR 相关的内容应强调临床应用、与同行/临床医生的互动以及教师的重复形成性反馈。
我们的结果表明，即使是对 AMR 问题感兴趣的医学生，由于知识差距和缺乏临床技能，也无法正确使用抗生素。根据学生学习偏好和内容重点的了解，应开发改进的以学生为中心的教学材料。
