Tackling Antimicrobial Resistance by promoting Antimicrobial stewardship in Medical and Allied Health Professional Curricula

被引:37
作者
Majumder, Md Anwarul Azim [1 ]
Singh, Keerti [2 ]
Hilaire, Marquita Gittens-St [3 ,4 ]
Rahman, Sayeeda [5 ]
Sa, Bidyadhar [6 ]
Haque, Mainul [7 ]
机构
[1] Univ West Indies, Med Educ, Fac Med Sci, Cave Hill Campus, Wanstead, Barbados
[2] Univ West Indies, Anat, Fac Med Sci, Cave Hill Campus, Wanstead, Barbados
[3] Univ West Indies, Microbiol, Fac Med Sci, Cave Hill Campus, Wanstead, Barbados
[4] Queen Elizabeth Hosp, Dept Microbiol, Bridgetown, Barbados
[5] Amer Univ Integrat Sci, Sch Med, Pharmacol & Publ Hlth, Bridgetown, Barbados
[6] Univ West Indies, St Augustine Campus, St Augustine, Trinidad Tobago
[7] Natl Def Univ Malaysia, Fac Med & Def Hlth, Pharmacol Unit, Kuala Lumpur, Malaysia
关键词
Antimicrobial resistance; antibiotic stewardship; prudent prescribing; health professional education and training; curriculum; INFECTIOUS-DISEASES SOCIETY; GENERAL DENTAL PRACTICE; ANTIBIOTIC-RESISTANCE; CARE EPIDEMIOLOGY; SELF-MEDICATION; STUDENTS PERCEPTIONS; UNIVERSITY-STUDENTS; DOCTORS VIEWS; KNOWLEDGE; ATTITUDES;
D O I
10.1080/14787210.2020.1796638
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Introduction Antimicrobial resistance poses a serious threat to global health with significantly higher morbidity, mortality, and economic burden. This review aims to discuss the importance of the promotion of antimicrobial stewardship in medical and allied health professional curricula and training/educating tomorrow's doctors in combatting antimicrobial resistance. A narrative literature review was conducted to retrieve relevant information related to antimicrobial resistance and stewardship and their implications on medical and allied health professional education and training from searches of computerized databases, hand searches, and authoritative texts. Areas covered Antimicrobial stewardship programs improve rational antibiotic use, reduce antimicrobial resistance, decrease complications of antibiotic use, and improve patient outcomes. Though health professional students recognize the importance and impact of antibiotic prescribing knowledge, many studies have consistently demonstrated low levels of confidence and competencies amongst students, highlighting that health professional schools failed to prepare them to prescribe antibiotics accurately. Expert opinion There is an urgent call for the integration of antimicrobial stewardship teaching at the undergraduate level of medical education to train future prescribers on this critical aspect of public health. Proper undergraduate education on rational antibiotics use would enable health professional graduates to enter clinical practice with adequate competencies to become rational prescribers.
引用
收藏
页码:1245 / 1258
页数:14
相关论文
共 163 条
[21]  
Beck Aaron P, 2018, WMJ, V117, P224
[22]   Pharmacology and Therapeutics Education in the European Union Needs Harmonization and Modernization: A Cross-sectional Survey Among 185 Medical Schools in 27 Countries [J].
Brinkman, D. J. ;
Tichelaar, J. ;
Okorie, M. ;
Bissell, L. ;
Christiaens, T. ;
Likic, R. ;
Maciulaitis, R. ;
Costa, J. ;
Sanz, E. J. ;
Tamba, B. I. ;
Maxwell, S. R. ;
Richir, M. C. ;
van Agtmael, M. A. .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2017, 102 (05) :815-822
[23]   Essential Competencies in Prescribing: A First European Cross-Sectional Study Among 895 Final-Year Medical Students [J].
Brinkman, D. J. ;
Tichelaar, J. ;
Schutte, T. ;
Benemei, S. ;
Bottiger, Y. ;
Chamontin, B. ;
Christiaens, T. ;
Likic, R. ;
Maciulaitis, R. ;
Marandi, T. ;
Monteiro, E. C. ;
Papaioannidou, P. ;
Pers, Y. M. ;
Pontes, C. ;
Raskovic, A. ;
Regenthal, R. ;
Sanz, E. J. ;
Tamba, B. I. ;
Wilson, K. ;
de Vries, T. P. ;
Richir, M. C. ;
van Agtmael, M. A. .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2017, 101 (02) :281-289
[24]   Do final-year medical students have sufficient prescribing competencies? A systematic literature review [J].
Brinkman, David J. ;
Tichelaar, Jelle ;
Graaf, Sanne ;
Otten, Rene H. J. ;
Richir, Milan C. ;
van Agtmael, Michiel A. .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2018, 84 (04) :615-635
[25]   Pharmacology education in undergraduate and graduate medical education in the United States [J].
Candler, C. ;
Ihnat, M. ;
Huang, G. .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2007, 82 (02) :134-137
[26]  
Canudas-Romo V, 2010, DEMOGRAPHY, V47, P299
[27]   Favorable impact of a multidisciplinary antibiotic management program conducted during 7 years [J].
Carling, P ;
Fung, T ;
Killion, A ;
Terrin, N ;
Barza, M .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2003, 24 (09) :699-706
[28]   Mapping Antimicrobial Stewardship in Undergraduate Medical, Dental, Pharmacy, Nursing and Veterinary Education in the United Kingdom [J].
Castro-Sanchez, Enrique ;
Drumright, Lydia N. ;
Gharbi, Myriam ;
Farrell, Susan ;
Holmes, Alison H. .
PLOS ONE, 2016, 11 (02)
[29]  
Center for Disease Dynamics Economics & Policy, 2015, STATE WORLDS ANTIBIO
[30]  
Centers for Disease Control and Prevention, 2020, ANT RES