Level of senior medical students’ knowledge on antimicrobial therapy: the results of the «KANT» project | CMAC

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

​ Bontsevich R.A., Adonina A.V., Gavrilova A.A., Batisheva G.A., Cherenkova O.V., Goncharova N.Y., Bikkinina G.M., Barysheva V.O., Ketova G.G., Bochanova E.N., Dauletbekov N.D., Tilekeeva U.M.
10.36488/cmac.2020.3.212-220
questioning antimicrobials rational antibacterial therapy students level of knowledge
Section
Antimicrobials
Type
Original Article
Publication
Clinical Microbiology and Antimicrobial Chemotherapy. 2020; 22(3):212-220

Objective.

To determine the level of basic knowledge of senior students of medical universities in the rational use of AMP.

Materials and Methods.

Analysis of an anonymous multicenter survey in the framework of the “KANT” project (the full name of the project is “Physicians’ (Students ’) knowledge in antimicrobials usage”), conducted in 2018–2019 in 6 cities of Russia and Kyrgyzstan.

Results.

The study revealed a low level of knowledge of senior students in the field of antibiotic therapy and the empirical use of AMP. The best results are shown by students when answering questions “time interval for evaluating the effectiveness of starting antimicrobial therapy”, “rationality and the period of changing AMP with a positive clinical effect”, and “choice of tactics for treating acute tonsillitis/pharyngitis”; the worst – for questions “choice of first-line AMP in the treatment of various infections”, “choice of adjuvant drugs for bacterial infections of the respiratory tract”, and “determination of irrational combinations of AMP”.

Conclusions.

According to the results of this study, senior students showed a low level of knowledge in the basic issues of the rational use of AMP and the principles of antibiotic therapy in general, which indicates the urgent need for additional educational activities among this category of respondents and an increase in the number of academic hours in the disciplines “Pharmacology” and “Clinical” pharmacology «in universities.

Roman A. Bontsevich

Belgorod State National Research University, Belgorod, Russia

Adonina A.V.

Belgorod State National Research University, Belgorod, Russia

Gavrilova A.A.

Belgorod State National Research University, Belgorod, Russia

Batisheva G.A.

Voronezh State Medical University named after N.N. Burdenko, Voronezh, Russia

Cherenkova O.V.

Voronezh State Medical University named after N.N. Burdenko, Voronezh, Russia

Goncharova N.Y.

Voronezh State Medical University named after N.N. Burdenko, Voronezh, Russia

Bikkinina G.M.

Bashkir State Medical University, Ufa, Russia

Barysheva V.O.

South Ural State Medical University, Chelyabinsk, Russia

Ketova G.G.

South Ural State Medical University, Chelyabinsk, Russia

Bochanova E.N.

Krasnoyarsk State Medical University named after V.F. Voyno-Yasenetsky, Krasnoyarsk, Russia

Dauletbekov N.D.

Kyrgyz State Medical Academy, Bishkek, Kyrgyz Republic

Tilekeeva U.M.

Kyrgyz State Medical Academy, Bishkek, Kyrgyz Republic

  • 1. World Health Organization. Antimicrobial resistance. Available at: www.who.int/news-room/fact-sheets/detail/antimicrobialresistance. Accessed February 2018.
  • 2. Bontsevich R.A., Shchurovskaya K.V., Pokrovskaya T.G., Goryainova L.Ye. Assessment of senior dental students and dental residents in matters of antimicrobial chemotherapy. Research Result in Pharmacology. 2015;1(1):51-57. DOI: 10.18413/2500235X-2015-1-4-61-68
  • 3. Bontsevich R.A., Schurovskaya K.V., Pokrovskaya T.G., Batishcheva G.A., Goncharova N.Yu. Assessment of knowledge by senior students of antimicrobial chemotherapy issues. Klinicheskaja mikrobiologija i antimikrobnaja himioterapija. 2016;18(3):226-230. Russian.
  • 4. Bontsevich R.A., Kirienko Yu.A., Bogatova V.Ye., Miliutina E.V., Kovalenko V.S., Melnichenko A.A., et al. Assessment of senior medical care majors' knowledge in antimicrobial chemotherapy. Research Results in Pharmacology. 2018;4(4):107-114. DOI: 10.3897/rrpharmacology.4.31960
  • 5. Savelyev V.S., Gelfand B.R., Yakovlev S.V., et al. Russian National Recommendations “Strategy and tactics of the use of antimicrobial agents in medical institutions of Russia”. M.: BORGES Company LLC, 2012, 92 p. Russian.
  • 6. Draft clinical guidelines of the Russian Respiratory Society for Community-Based Therapy, 2018. Available at: http://spulmo. ru/download/ВП%20клинические%20рекомендации%20 17%2002%2020183.pdf. Accessed April 29, 2020. Russian.
  • 7. Chuchalin A.G., Sinopalnikov A.I., Strachunsky L.S., Kozlov R.S. Community-acquired pneumonia in adults: practical recommendations for diagnosis, treatment and prevention. Klinicheskaja mikrobiologija i antimikrobnaja himioterapija. 2010;12(3):186-225. Russian.
  • 8. Acute tonsillopharyngitis. Clinical recommendations. National Medical Association of Otolaryngologists, 2019. Available at: www.nmaoru.org/files/KR306%20Tonzillofaringit.pdf. Accessed April 29, 2020. Russian.
  • 9. Acute pyelonephritis. Clinical recommendations. Russian Society of Urology, 2019. Available at: www.ooorou.ru/public/uploads/ROU/Files/КР9%20Острый%20пиелонефрит%2004.07.2019%20Журавлева.pdf. Accessed April 29, 2020. Russian.
  • 10. Strategy and tactics of the rational use of antimicrobial agents in outpatient practice: Eurasian clinical recommendations. Yakovlev S.V., Sidorenko S.V., Rafalsky V.V., Spichak T.V., Eds. M.: Publishing house "Pre100 Print", 2016. 144 p. Russian.
  • 11. Grabe M., Bartoletti R., Johansen B.T.E., Çek M., Köves B., Naber K.G., et al. Guidelines on Urological Infections. European Association of Urology; 2015. 115 р. Available at: https://uroweb.org/wp-content/uploads/19-Urological-infections_LR2.pdf. Accessed April 29, 2020.
  • 12. Bonkat G., Bartoletti R., Bruyere F., Cai T., Geerlings S.E. et al. EAU Guidelines. Urological Infections Available at: http://uroweb.org/guidelines/compilations-of-all-guidelines/. Accessed April 29, 2020.
  • 13. Gupta K., Hooton T.M., Naber K.G., Wullt B., Colgan R., Miller L.G., et al. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: a 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis. 2011;52(5):103-120. DOI: 10.1093/cid/ciq257
  • 14. Filippenko N., Malorodova T., Pokrovskaya T., Batishchev S., Balamutova T., Lihodedova V., et al. Approaches to antibiotic therapy in patients with calculous pyelonephritis, undergoing inpatient treatment in the department of urology. Research Results in Pharmacology. 2017;3(1):73-78. DOI: 10.18413/2500-235X2017-3-1-73-78
  • 15. Metlay J.P., Waterer G.W., Long A.C., Anzueto A., Brozek J., Crothers K., et al. Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med. 2019;200(7):4567. DOI: 10.1164/rccm.201908-1581ST
  • 16. Woodhead M., Blasi F., Ewig S., Garau J., Huchon G., Ieven M., et al. Guidelines for the management of adult lower respiratory tract infections – jointly written by the European Respiratory Society and European Society of Clinical Microbiology and Infectious Diseases. Clin Microbiol Infect. 2011;17(6):1-24. DOI: 10.1111/j.1469-0691.2011.03602.x
  • 17. Gavrilova A.A., Bontsevich R.A., Cherenkova O.V. Goncharova N.Yu., Pokrovskaya T.G. Dynamics of students' knowledge in the management of patients with community-acquired pneumonia after additional educational events. Consilium Medicum. 2020;22(3):87-93. Russian. DOI: 10.26442/20751753.2020.3.200080
  • 18. Bacterial cystitis in adults. Clinical recommendations. Russian Society of Urology, 2019. Available at: www.ooorou.ru/public/uploads/ROU/Files/КР%20ЦИСТИТ%20МЗ%20ПРИНЯТ%2023.01.19-конвертирован.pdf. Accessed April 29, 2020. Russian.
  • 19. Knecht H., Neulinger S.C., Heinsen F.A., Knecht C., Schilhabel A., Schmitz R.A., et al. Effects of β-lactam antibiotics and fluoroquinolones on human gut microbiota in relation to Clostridium difficile associated diarrhea. PLoS One. 2014;9(2):89417. DOI: 10.1371/journal.pone.0089417
  • 20. Acute bronchitis in adults. Clinical protocol for diagnosis and treatment, 2013. Available at: www.rcrz.kz/docs/clinic_protocol/Терапия/Пульмонология/Острый%20бронхит.pdf. Accessed April 29, 2020. Russian.
  • 21. Linhares I., Raposo T., Rodrigues A., Almeida A. Frequency and antimicrobial resistance patterns of bacteria implicated in community urinary tract infections: a ten-year surveillance study (2000-2009). BMC Infect Dis. 2013;13:19. DOI: 10.1186/1471-2334-13-19
  • 22. Shevchenko O.V., Mudrak D.Y., Skleenova E.Y., Kozyreva V.K., Ilina E.N., Ikryannikova L.N., et al. First detection of VIM-4 metallo-beta-lactamase-producing Escherichia coli in Russia. Clin Microbiol Infect. 2012;18:E214-E217. DOI: 10.1111/j.14690691.2012.03827.x
  • 23. Smith S.M., Fahey T., Smucny J., Becker L.A. Antibiotics for acute bronchitis. Cochrane Database Syst Rev. 2017;2017(6):CD000245. DOI: 10.1002/14651858.CD000245.pub4
  • 24. A practical guide to antiinfectious chemotherapy. Stratchounsky L.S., Belousova Yu.B., Kozlova S.N., Eds. Smolensk: IACMAC, 2007. 464 p. Russian.
  • 25. Sinopalnikov A.I., Zaitsev A.A. Azithromycin in pulmonary practice: 20 years later. Pulmonology. 2009;1:54-59. Russian.
  • 26. Abbo L.M., Cosgrove S.E., Pottinger P.S., Pereyra M., SinkowitzCochran R., Srinivasan A., et al. Medical students’ perceptions and knowledge about antimicrobial stewardship: how are we educating our future prescribers? Clin Infect Dis. 2013;57(5):631638. DOI: 10.1093/cid/cit370
  • 27. Pribylova N.N., Shabanov E.A., Sidorets V.M. Carrying out the questionnaire of internal doctors as a method for estimating satisfaction with the quality of education. Psychology of Health and Disease: Clinical and Psychological Approach Materials of the IV All-Russian Scientific and Practical Conference with International Participation dedicated to the 80th anniversary of KSMU. Kursk State Medical University. 2014;205-207. Russian.
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