Knowledge, attitudes, and beliefs of French medical students about antibiotic prescribing and resistance

Med Mal Infect. 2013 Oct;43(10):423-30. doi: 10.1016/j.medmal.2013.07.010. Epub 2013 Sep 6.

Abstract

Objectives: We had for aim to learn about medical students' knowledge and perspectives on antibiotic prescribing and bacterial resistance.

Methods: Penultimate and final year students at a French medical school were invited to participate in an anonymous online survey in summer 2012.

Results: The response rate was 20% (60/297). Penultimate and final year students gave similar answers. Students felt more confident in diagnosing an infection, and less confident in choosing the correct dose and interval of antibiotic administration. Seventy-nine percent of students wanted more training on antibiotic treatments. Sixty-nine percent of students knew that antibiotic prescriptions were inappropriate or unnecessary in 21-60% of the cases, and 95% believed that these prescriptions were unethical. Only 27% knew that more than 80% of antibiotic prescriptions were made in community practice. Students believed that the most important causes of resistance were that too many prescriptions were made and broad-spectrum antibiotic use; 27% believed poor hand hygiene was "not at all important". Ninety-four percent believed resistance was a national problem, and 69% mentioned it as a problem in their hospital. Sixty-three percent thought that the antibiotics they would prescribe would contribute to resistance, and 96% thought resistance would be a greater problem in the future. Twenty-two percent knew MRSA bacteremia rates had decreased over the past decade in France.

Conclusions: Medical students are aware that antibiotic resistance is a current and growing problem. They would like more training on antibiotic selection.

Keywords: Antibiotic stewardship; Bon usage des antibiotiques; Enseignement; KABP; Training.

MeSH terms

  • Adult
  • Anti-Bacterial Agents / therapeutic use*
  • Bacteremia / epidemiology
  • Cross-Sectional Studies
  • Data Collection
  • Drug Prescriptions
  • Drug Resistance, Microbial*
  • Female
  • France
  • Guideline Adherence
  • Hand Disinfection
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Infectious Disease Medicine / education
  • Male
  • Methicillin-Resistant Staphylococcus aureus
  • Practice Guidelines as Topic
  • Staphylococcal Infections / epidemiology
  • Students, Medical / psychology*
  • Surveys and Questionnaires

Substances

  • Anti-Bacterial Agents