Knowledge, perception and preparedness of future prescribers about antimicrobial stewardship

Authors

DOI:

https://doi.org/10.3329/bjp.v11i4.29507

Keywords:

Antimicrobial, Knowledge, Perception, Prescriber, Stewardship

Abstract

The study was aimed to evaluate the knowledge, perception and prepared-ness of the 4th year students of three medical colleges of Bangladesh during January 2016. The questionnaire was designed to evaluate knowledge, perception and preparedness about antimicrobial stewardship and resistance. Out of two hundred and seventy six students provided with questionnaire, one seventy one (82%) had responded completely. The term antimicrobial stewardship was familiar to only 6% students. Thirty nine percent respon-dents correctly responded on antibacterial spectrum. Seventy two percent students mentioned that teaching on antimicrobial should begin from 3rd year and 89% felt necessity of spending more time on antimicrobials. This study revealed that future prescribers recognize the necessity of targeted teaching on antimicrobial to prepare them to prescribe antimicrobials rationally.

Downloads

Download data is not yet available.
Abstract
1512
Download
844 Read
648

Author Biographies

Jannatul Ferdoush, Department of Pharmacology and Therapeutics, Chattagram Maa-O-Shishu Hospital Medical College, Agrabad, Chittagong

Assistant Professor

Kohinoor Parveen, Department of Pharmacology and Therapeutics, Southern Medical College, East Nasirabad, Chittagong

Lecturer

Maliha Ata, Department of Pharmacology and Therapeutics, Chittagong Medical College, Chittagong

Assistant Professor

Fahim Hasan Reza, Department of Pediatrics, Chattagram Maa-O-Shishu Hospital Medical College, Agrabad, Chittagong

Resident Physician

Md. Sayedur Rahman, Department of Pharmacology, Bangabandhu Sheikh Mujib Medical University, Dhaka

Professor

References

Abbo L, Sinkowitz-Cochran R, Smith L, Ariza-Heredia E, Gomez-Marin O, Srinivasan A, Hooton TM. Faculty and resident physicians attitudes, perceptions, and knowledge about antimicrobial use and resistance. Infect Control Hosp Epidemiol. 2011; 32: 714-18.

Abbo LM, Cosgrove SE, Pottinger PS, Pereyra M, Sinkowitzcochran R, Srinivasan A, Webb DJ, Hooton TM. Medical students perceptions and knowledge about antimicrobial stewardship: How are we educating our future prescribers? Clin Infect Dis. 2013; 57: 631-38.

Afreen S, Rahman MS. Patterns of medicine use in patients of common respiratory diseases treated in the Department of Pediatrics of BSMMU hospital. Bangladesh J Physiol Pharmacol. 2014: 30: 9-13.

Bangladesh Medical & Dental Council (BMDC). Curriculum for undergraduate medical education in Bangladesh-updated 2012, approved and published in September 2012, pp 140-67.

Beardsley JR, Williamson JC, Johnson JW, Luther VP, wren RH, Ohl CC. Show me the money: Long-term financial impact of an antimicrobial stewardship program. Infect Control Hosp Epidemiol. 2012; 33: 398-400.

Begum M, Rahman MS, Islam AFMS, Khan IA, Akhter N. Eleven years of the undergraduate medical curriculum. 1988: Review on the changes in pharmacology written questions. Bangladesh J Physiol Pharmacol. 1999; 15: 27-30.

Carling P, Fung T, Killion A, Terrin N, Barza M. Favorable impact of a multidisciplinary antibiotic management program conducted during 7 years. Infect Control Hosp Epidemiol. 2003; 24: 699-706.

Center for Disease Control and Prevention (CDC). CDCs campaign to prevent antimicrobial resistance in health care settings. MMWR Morb Mortal Wkly Rep. 2002; 51: 343.

Center for Disease Control and Prevention (CDC). Get smart: Know when antibiotics work. Available at: http://www.cdc.gov/getsmart/ antibiotic-use/index.html. Accessed 18 March 2015.

Chowdhury AK, Rahman MS, Faroque AB, Hasan GA, Raihan SZ. Excessive use of avoidable therapeutic injections in the Upazilla health complexes of Bangladesh. Mymensingh Med J. 2008: 17(Suppl 2): S59-64.

Costelloe C, Metcalfe C, Lovering A, Mant D, Hay AD. Effect of antibiotic prescribing in primary care on antimicrobial resistance in individual patient: Systemic review and meta-analysis. Br Med J. 2010; 340: c2096.

Dellit TH, Owens RC, McGowan JE Jr, Gerding DN, Weinstein RA, Burke JP, Huskins WC, Paterson DL, Fishman NO, Carpenter CF, Brennan PJ, Billeter M, Hooton TM. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis. 2007; 44: 159-77.

European Centre for Disease Prevention and Control (ECDPC). European Antibiotic Awareness Day. Available at: http://

ecdc.europa.eu/en/EAAD/Pages/Home.aspx. 2013 Accessed on 4th February, 2016.

Faiz MA, Rahman MR. Rational antimicrobial use. J CMCTA. 2004; 15: 1-3.

Fishman N. Antimicrobial Stewardship. Am J infect Cont. 2006; 34: SS55-63.

Gordoncillo MJ, Bender J, Noffsinger J, Bartlett PC. Developing an open-access antimicrobial resistance learning site for veterinary medical students. J Vet Med Educ. 2011; 38: 404-07.

Heaton A, Webb DJ, Maxwell SR. Undergraduate preparation for prescribing: The views of 2413 UK medical students and recent graduates. Br J Clin Pharmacol. 2008; 66: 128-34.

Hecker MT, Aron DC, Patel NP, Lehmann MK, Donskey CJ. Unnecessary use of antimicrobials in hospitalized patients: Current patterns of misuse with an emphasis on the antianaerobic spectrum of activity. Arch Intern Med. 2003; 163: 972-78.

Islam MS, Rahman MS, Misbahuddin M. Impact of prescription audit & feedback on pattern of prophylactic antimicrobials in caesarean section: A cost reduction perspective. Bangladesh J Physiol Pharmacol. 2007; 23: 1-9.

OShaughnessy L, Haq I, Maxwell S, Llewelyn M. Teaching of clinical pharmacology and therapeutics in UK medical schools: Current status in 2009. Br J Clin Pharmacol. 2010; 70: 143-48.

Owens RC Jr, Fraser GL, Stogsdill P. Antimicrobial stewardship program as a means to optimize antimicrobial use. Insights from the society of infectious diseases pharmacists. Pharmacotherapy 2004; 24: 896-908.

Pulcini C, Gyssens IC. How to educate prescribers in antimicrobial stewardship practices, Virulence 2013; 4: 192-202.

Pulcini C, Williams F, Molinari N, Davey P, Nathwani D. Junior doctors knowledge and perceptions of antibiotic resistance and prescribing: A survey in France and Scotland. Clin Microbiol Infect. 2011; 17: 80-87.

Rahman MS, Begum M, Khan IA, Chowdhury S, Islam AMZ, Sultana R, Hoque MZ, Akhter N. A baseline survey on the use of drugs at private practitioner level in Bangladesh. Bangladesh J Physiol Pharmacol. 1998: 14: 47-50.

Rahman MS, Huda S. Antimicrobial resistance and related issues: An overview of Bangladesh situation. Bangladesh J Pharmacol. 2014; 9: 218-24.

Rahman MS. Changes required in pharmacotherapy teaching to ensure rational use of drugs. Bangladesh J Physiol Pharmacol. 1995; 11: 38-39.

Ross S, Maxwell S. Prescribing and the core curriculum for tomorrows doctors: BPS curriculum in clinical pharmacology and prescribing for medical students. Br J Clin Pharmacol. 2012; 74: 644-61.

Sbarbaro JA. Can we influence prescribing patterns? Clin Infect Dis. 2001; 33: 240-44.

Schiff GD, Wisniewski M, Bult J, Parada JP, Aggarwal H, Schwartz DN. Improving inpatient antibiotic prescribing: Insights from participation in a national collaborative. Jt Comm J Qual Improv. 2001; 27: 387-402.

Sharma K, Jain P, Sharma A. Knowledge, attitude and perception of medical and dental undergraduates about antimicrobial stewardship. Indian J Pharmacol. 2015; 47: 676-79.

Srinivasan A, Song X, Richard A, Sinkowitz-Cochran R, Cardo D, Rand C. A survey of knowledge, attitudes, and beliefs of house staff physicians from various specialties concerning antimicrobial use and resistance. Arch Intern Med. 2004; 164: 1451-56.

Wester CW, Durairaj L, Evans AT, Schwartz DN, Husain S, Martinez E. Antibiotic resistance: A survey of physician perceptions. Arch Intern Med. 2002; 162: 2210-16.

Additional Files

Published

2016-12-15

How to Cite

Ferdoush, J., K. Parveen, M. Ata, F. H. Reza, and M. S. Rahman. “Knowledge, Perception and Preparedness of Future Prescribers about Antimicrobial Stewardship”. Bangladesh Journal of Pharmacology, vol. 11, no. 4, Dec. 2016, pp. 928-34, doi:10.3329/bjp.v11i4.29507.

Issue

Section

Research Articles