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兽医学生对抗生素治疗和抗菌药物耐药性知识的认知中的One Health:一项多中心研究。

One Health in the consciousness of veterinary students from the perspective of knowledge of antibiotic therapy and antimicrobial resistance: a multi-centre study.

机构信息

Faculty of Applied Social Sciences and Resocialization, The Center of Sociomedical Research, Warsaw University, Warsaw, Poland.

Department of Pediatrics With Clinical Assessment Unit, Medical University of Warsaw, Warsaw, Poland.

出版信息

Front Public Health. 2023 May 24;11:1165035. doi: 10.3389/fpubh.2023.1165035. eCollection 2023.

DOI:10.3389/fpubh.2023.1165035
PMID:37293608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10244627/
Abstract

One Health (OH) is one of the most essential global programs to rebalance the animal, human, and plant environments that depend on and affect each other. One element of the OH program is to draw attention to the phenomenon of antimicrobial resistance (AMR), which poses a very high risk to human and animal health. OH is not only a health-promoting project but also has an educational dimension. Therefore, a survey was conducted among 467 veterinary students studying at top academic centers in Poland to find out whether they had heard of OH and whether knowledge of OH influences their knowledge and attitudes related to AMR. The study indicated statistically significant relationships between familiarity with the OH program and the year of study. The higher the year of study, the more students heard about OH. It was also shown that students who had heard of OH were significantly more likely-compared to students who had not heard of OH-to agree that increasing AMR is influenced by the overuse of antibiotics in veterinary medicine (70.7 vs. 55%; = 0.014) and the use of too low doses of antibiotics in animals (49.8 vs. 28.6%; = 0.016). The higher the year of study, the higher the percentage of students who say that carbapenems as antibiotics of last resort should be reserved only for humans (70% of final-year students vs. 30.8% of first-year students; < 0.001). The study's results indicate the effectiveness of education in fostering positive attitudes toward AMR and the impact of knowledge of the OH program on knowledge of antibiotic therapy in the spirit of OH.

摘要

One Health (OH) 是重新平衡相互依存和相互影响的动物、人类和植物环境的最重要的全球计划之一。OH 计划的一个要素是引起人们对抗菌药物耐药性 (AMR) 现象的关注,这对人类和动物健康构成了非常高的风险。OH 不仅是一个促进健康的项目,而且具有教育层面。因此,对波兰顶尖学术中心的 467 名兽医学生进行了一项调查,以了解他们是否听说过 OH,以及对 OH 的了解是否会影响他们与 AMR 相关的知识和态度。研究表明,对 OH 计划的熟悉程度与学习年限之间存在统计学上显著的关系。学习年限越高,听说过 OH 的学生就越多。研究还表明,与未听说过 OH 的学生相比,听说过 OH 的学生更有可能同意 AMR 的增加受到兽医中抗生素过度使用的影响(70.7%比 55%;= 0.014)和动物中抗生素使用剂量过低的影响(49.8%比 28.6%;= 0.016)。学习年限越高,认为碳青霉烯类抗生素作为最后手段的抗生素应仅保留给人类使用的学生比例就越高(最后一年学生中 70%,而第一年学生中 30.8%;<0.001)。研究结果表明,教育在培养对抗生素耐药性的积极态度方面是有效的,并且 OH 计划的知识对 OH 精神下抗生素治疗知识的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40e1/10244627/bdc008a29af8/fpubh-11-1165035-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40e1/10244627/d8b73d769f64/fpubh-11-1165035-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40e1/10244627/bdc008a29af8/fpubh-11-1165035-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40e1/10244627/d8b73d769f64/fpubh-11-1165035-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40e1/10244627/bdc008a29af8/fpubh-11-1165035-g0002.jpg

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Carbapenem prescribing at a veterinary teaching hospital before an outbreak of carbapenem-resistant Escherichia coli.兽医教学医院爆发碳青霉烯类耐药大肠杆菌前的碳青霉烯类药物使用情况。
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Antimicrobial and Antibiotic Resistance from the Perspective of Polish Veterinary Students: An Inter-University Study.
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Knowledge-Based Attitudes of Medical Students in Antibiotic Therapy and Antibiotic Resistance. A Cross-Sectional Study.医学生对抗生素治疗和抗生素耐药性的基于知识的态度。一项横断面研究。
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