抗菌药物耐药性的知识和信念及其对未来处方医师的影响

Lokeshwar Chaurasia, R. Sinha, Sushma Deo, R. C. Shah, Gita Paudel
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摘要

背景与目的:抗菌药物耐药性是指微生物在被设计用于抑制或杀死它们的抗菌药物存在下持续存在或生长的能力。由于医学学士和外科学士(MBBS)学生将成为未来抗菌药物的开处方者,因此本研究旨在观察现有的抗菌药物耐药性知识和信念及其对未来抗菌药物使用的影响。材料和方法:本横断面研究在尼泊尔Janakpurdham的Janaki医学院进行,共有223名医学学士和外科学士(MBBS)项目的学生参与。数据是通过结构化和定制的自我管理问卷作为工具从MBBS第一年到最后一年的受访者中收集的。采用卡方检验检验MBBS不同学年与抗菌药物知识、抗菌药物耐药、抗菌药物信念、抗菌药物知识与抗菌药物耐药含义的相关性。不同学年MBBS学生抗菌药物知识的差异(p0.05)。然而,不同学年MBBS学生在抗菌药物耐药性知识和抗菌药物信念方面的大部分回答差异有统计学意义(p<0.05)。各学年的大部分学生都认为自己目前对抗菌药物和抗菌药物耐药性的认识不足,希望在抗菌药物和抗菌药物耐药性方面接受更多的教育,为将来的医生职业生涯做好准备。结论:有必要进行更严格的学术和临床干预,以便只处方特定的抗菌药物,总体上减少对现有抗菌药物以及仍处于临床试验阶段的抗菌药物的耐药性进一步发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge and Beliefs about Antimicrobial drug resistance and its Implications in Future Prescribers
Background & Objective: Antimicrobial drug resistance is the ability of microorganisms to persist or grow in the presence of antimicrobial drugs designed to inhibit or kill them. Since, Bachelor of Medicine and Bachelor of Surgery (MBBS) students will be the future prescribers of antimicrobial drugs, this study aims to observe the existing knowledge and beliefs about antimicrobial drug resistance and its impact on the future use of antimicrobial drugs. Material and Methods: This cross-sectional study was conducted at Janaki Medical College, Janakpurdham, Nepal, among 223 students of Bachelor of Medicine and Bachelor of Surgery (MBBS) program. Data was collected through a structured and customized self administered questionnaire as a tool from the respondents of MBBS first year to MBBS final Year. Chi square test was applied to test the association between different academic years of MBBS and their knowledge on antimicrobial drugs, antimicrobial drug resistance, beliefs about antimicrobial drugs, and implications of the knowledge of antimicrobial drugs and antimicrobial drug resistance. p<0.05 was considered statistically significant. Results: Out of the total participants (n=223), the majority participants were male (n=150) and the mean age of study participants was 22.93±2.15 years. There was no statistically significant difference (p>0.05) in the knowledge on antimicrobial drugs among the different academic years of MBBS. However, there was statistically significant difference (p<0.05) between different academic years of MBBS, in most of the responses related to the knowledge on antimicrobial drug resistance and beliefs on antimicrobial drugs. Most of the students from all the academic years agreed that, their current knowledge of antimicrobial drugs and antimicrobial drug resistance was inadequate, and that they would like to have more education on antimicrobial drugs and antimicrobial drug resistance, for their future career as a doctor. Conclusion: There is a need for more rigorous academic and clinical intervention so that only specific antimicrobial drugs are prescribed with an overall reduction in further development of antimicrobial drug resistance to the existing as well as to the antimicrobial drugs that are still in their clinical trial phases.
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