Department of Health Sciences Research, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India.
Department of Infection Control and Epidemiology, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India; Division of Infectious Diseases & HIV Medicine, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa; AMR and Global Health, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, United Kingdom.
Indian J Med Microbiol. 2024 May-Jun;49:100607. doi: 10.1016/j.ijmmb.2024.100607. Epub 2024 May 16.
Pharmacists are recognised in guidelines from across the globe as key stakeholders in antimicrobial stewardship (AMS) initiatives. The current study aims to assess the current practices and level of training and education in relation to AMS among pharmacy students from Kerala, India.
A cross-sectional web-based survey was developed and disseminated among doctor of pharmacy 5th year students and interns from selected pharmacy colleges across Kerala through key informants. Descriptive statistics were used to analyse the responses.
The response rate was 34.8% (157/450). Whilst the majority of respondents (89.8%, 141/157) recalled being taught about antimicrobial resistance (AMR) as part of the pharmacy curricula, 84.7% (133/157) believed they didn't have sufficient knowledge about AMR. Most of the respondents (64.9%, 102/157) had not received any AMS training. Clinical posting in AMS was the preferred mode of training suggested by most respondents. Respondents who audited antimicrobials as part of their clinical postings (77.9%, 88/113) reported their main responsibility was review of patient records for assessing the appropriateness of antimicrobials (68.2%, 60/88). Inappropriate selection of antimicrobials was the most common error identified by respondents (38.1%, 43/113) and the key method of communicating their recommendation was informing the prescriber in person (46%, 52/113).
Whilst pharmacy students are reviewing antimicrobial prescriptions as part of their clinical postings, their education and training in AMR and AMS remain low. The inclusion of practical clinical training for pharmacy students as part of their curricula can be a cost-effective way to promote AMS initiatives.
药剂师在全球范围内的指南中被认为是抗菌药物管理（AMS）计划的关键利益相关者。本研究旨在评估印度喀拉拉邦药学专业学生在 AMS 方面的当前实践、培训和教育水平。
通过关键知情人向喀拉拉邦选定的药学学院的药学博士 5 年级学生和实习药师发放了一份基于网络的横断面调查。使用描述性统计来分析反应。
回应率为 34.8%（157/450）。虽然大多数受访者（89.8%，141/157）回忆起在药学课程中学习过抗生素耐药性（AMR），但 84.7%（133/157）认为他们对 AMR 没有足够的了解。大多数受访者（64.9%，102/157）没有接受过任何 AMS 培训。大多数受访者建议通过临床实习来进行 AMS 培训。作为其临床实习的一部分审核抗生素的受访者（77.9%，88/113）报告他们的主要职责是审查患者记录以评估抗生素的适当性（68.2%，60/88）。受访者发现的最常见错误是抗生素选择不当（38.1%，43/113），并建议通过当面告知开处方者（46%，52/113）来传达其建议。
尽管药学专业学生在临床实习中审查抗生素处方，但他们在 AMR 和 AMS 方面的教育和培训仍然不足。将药学学生的实践临床培训纳入课程是促进 AMS 计划的一种具有成本效益的方法。
