Assessment of students’ knowledge level regarding the rational use of antimicrobials
https://doi.org/10.37489/2588-0519-2024-4-120-130
EDN: LVWVMI
Abstract
Relevance. In the context of the continuing growth of antibiotic resistance, an important aspect of antimicrobial drug use is increasing the knowledge level of medical university students regarding the main issues of rational antimicrobial therapy.
Objective. To determine the level of basic knowledge of 6th year students at the Institute of Clinical Medicine (ICM) on the main issues of the rational use of antimicrobial drugs (AMD).
Materials and methods. The data from an anonymous survey among the 6th year students of the ICM, carried out in the 2023–2024 academic year were analyzed.
The results are presented in the form of an "average percentage of responses to a question" (APR). The best results were shown by the student who answered the following questions: the time to evaluate the effectiveness of initial antimicrobial therapy in (AMT) (APR = 85 %), the need to replace AMD with a positive clinical effect (APR = 60 %), and tactics for the treatment of acute tonsillitis/pharyngitis (APR = 56 %). The worst results were shown by the students answering the following questions: combination of AMD (APR = 16 %), criteria for AMD withdrawal (APR = 18 %), auxiliary drugs for bacterial infections of the respiratory tract (APR = 8 %), the choice of first-line AMD for mild community-acquired pneumonia (APR = 18 %), acute cystitis (APR = 17 %), acute uncomplicated pyelonephritis (APR = 7 %), the choice of a rational administration schedule of ampicillin (APR = 29 %) and cefixime (APR = 33 %).
Conclusion. Based on the results of the survey, it can be concluded that there is an insufficient knowledge level of basic AMT issues among the 6th year ICM students (on average, 37 % of correct answers in the questionnaire as a whole).
About the Authors
M. A. PlyasheshnikovRussian Federation
Mark A. Plyasheshnikov — Cand. Sci. (Med.), Associate Professor, Acting Head of the Department of Clinical Pharmacology
Barnaul
Z. A. Titova
Russian Federation
Zoya A. Titova — Cand. Sci. (Med.), Associate Professor of the Department of Clinical Pharmacology
Barnaul
References
1. Rasporyazhenie Pravitel`stva RF ot 25 sentyabrya 2017 g. № 2045-r «Ob utverzhdenii strategii preduprezhdeniya rasprostraneniya antimikrobnoj rezistentnosti v Rossijskoj Federacii na period do 2030 goda». (In Russ.)]. Доступно по: https://www.garant.ru/products/ipo/prime/doc/71677266/. Ссылка активна на 29.10.2024.
2. Yakovlev SV. New Concept of Rational Use of Antibiotics in Outpatient Practice. Antibiot Khimioter = Antibiotics and Chemotherapy. 2019;64(3-4):48-58. (In Russ.)]. https://doi.org/10.24411/0235-2990-2019-100017.
3. Yakovlev SV, Suvorova MP. Rationale for the choice of an antibiotic for urinary tract infections with an emphasis on the environmental safety of therapy. Urologiia. 2021;4:97-105. (In Russ.)]. https://dx.doi.org/10.18565/urology.2021.4.97-105.
4. Interregional Public Organization “Alliance of Clinical Chemotherapists and Microbiologists”, Russian Society of Obstetricians and Gynecologists, Association of Primary Care Physicians "CYRANO", Association of Pediatricians. Strategy and tactics of rational use of antimicrobial agents in outpatient practice. Eurasian methodological recommendations. Moscow: MedCom-Pro; 2022. (In Russ.)]. ISBN 978-5-6047563-0-0.
5. Rational antimicrobial pharmacotherapy. Ed by Yakovlev SV. Moscow: Litterra; 2023. (In Russ.)]. doi: 10.33029/4235-0374-1-ANT-2023-1-896.
6. SCAT (Strategy for the Control of Antimicrobial Therapy) Programme in Inpatient Care: Russian Clinical Guidelines. Ed by Yakovlev SV, Brico NI, Sidorenko SV, Protsenko DN. Moscow: Pero; 2018. (In Russ.)]. doi:10.17513/np.318.
7. Bontsevich RA, Tikhoyvanova AA, Annenkov NV, Batisheva GA, Martynenko IM, Nevzorova VA, Bikkinina GM, Ketova GG, Bogdanova VO, Luchinina EV. Determining knowledge of antimicrobial therapy in senior medical students (results of the KANT-IV project). Clinical Microbiology and Antimicrobial Chemotherapy. 2024;26(1):87-97. (In Russ.)]. doi:10.36488/cmac.2024.1.87-97.
8. Bontsevich RA, Adonina AV, Gavrilova AA, Batisheva GA, Cherenkova OV, Goncharova NY, Bikkinina GM, Barysheva VO, Ketova GG, Bochanova EN, Dauletbekov ND, Tilekeeva UM. Level of senior medical students` knowledge on antimicrobial therapy: the results of the “KANT” project. Clinical Microbiology and Antimicrobial Chemotherapy. 2020;22(3):212-220. (In Russ.)]. doi: 10.36488/cmac.2020.3.212-220.
9. National Medical Association of Otorhinolaryngologists, Interregional Public Organization “Alliance of Clinical Chemotherapists and Microbiologists”, Union of Pediatricians of Russia, Interregional Association for Clinical Microbiology and Antimicrobial Chemotherapy, International Public Organization “Euro-Asian Society for Infectious Diseases”. Clinical recommendations "Acute tonsillitis and pharyngitis (Acute tonsillopharyngitis)". Ministry of Health of the Russian Federation; 2021. (In Russ.)].
10. Russian Respiratory Society, Interregional Association for Clinical Microbiology and Antimicrobial Chemotherapy. Clinical recommendations “Community-acquired pneumonia in adults” . Ministry of Health of the Russian Federation; 2021. (In Russ.)
11. Interregional Public organization "Russian Respiratory Society", All-Russian public organization "Russian Medical Society of Therapists", Interregional Association of Respiratory Medicine Specialists. Clinical recommendations "Acute bronchitis in adults". Ministry of Health of the Russian Federation; 2022. (In Russ.)
12. All-Russian public organization "Russian Society of Urology". Clinical recommendations “Cystitis in women ”. Ministry of Health of the Russian Federation; 2021. (In Russ.)].
13. Perepanova TS, Kozlov RS, Rudnov VA, Sinyakova LA, Palagin IS. Antimicrobial therapy and prevention of infections of the kidneys, urinary tract and male genital organs. Federal Clinical Guidelines. Moscow: UroMedia; 2022. (In Russ.)].
Review
For citations:
Plyasheshnikov M.A., Titova Z.A. Assessment of students’ knowledge level regarding the rational use of antimicrobials. Kachestvennaya Klinicheskaya Praktika = Good Clinical Practice. 2024;(4):120-130. (In Russ.) https://doi.org/10.37489/2588-0519-2024-4-120-130. EDN: LVWVMI