1. European survey on principles of prudent antibiotic prescribing teaching in undergraduate students
- Author
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C. Pulcini, F. Wencker, N. Frimodt-Møller, W.V. Kern, D. Nathwani, J. Rodríguez-Baño, G.S. Simonsen, V. Vlahović-Palčevski, I.C. Gyssens, F. Jacobs, W. Peetermans, I. Francetić, N. Frimodt-Mǿller, N. Høiby, M. Kilian, F. Ader, C. Cazorla, M. Etienne, G. Fätkenheuer, M.W. Pletz, B. Salzberger, B. Cacopardo, M. Mikulska, C. Mussini, G. Orlando, S. Stefani, S.H. Lowe, J.L. Nouwen, J.E. Afset, K. Bergh, F. Müller, B. Carevic, O. Horvat, S. Jankovic, B. Beović, J.R. Gorisek, R. Canton, M.C. Fariñas, F. Gudiol, J.R. Paño Pardo, J. Rodríguez Baño, S. Harbarth, G. Zanetti, G. Barlow, N. Brown, B. Healy, Maladies chroniques, santé perçue, et processus d'adaptation. Approches épidémiologiques et psychologiques. ( APEMAC - EA 4360 ), Université Paris Descartes - Paris 5 ( UPD5 ) -Université de Lorraine ( UL ), Service des Maladies Infectieuses et Tropicales [CHRU Nancy], Centre Hospitalier Régional Universitaire de Nancy ( CHRU Nancy ), Radboud University Medical Center [Nijmegen], Canisius-Wilhelmina Hospital, Rigshospitalet [Copenhagen], Center for Infectious Diseases and Travel Medicine, University Hospital Freiburg, Ninewells Hospital and Medical School [Dundee], Infectious Diseases and Clinical Microbiology Unit, University Hospital Virgen Macarena, Universidad de Sevilla, UNN, University Hospital of North Norway, Tromsoe, Norvège, The Arctic University of Norway ( UiT ), University Hospital Rijeka, University of Rijeka, Hasselt University, Gyssens I, Jacobs F, Peetermans W, Francetić I, Vlahović-Palčevski V, Frimodt-Mǿller N, Høiby N, Kilian M, Ader F, Cazorla C, Etienne M, Pulcini C, Fätkenheuer G, Kern W, Pletz M, Salzberger B, Cacopardo B, Mikulska M, Mussini C, Orlando G, Stefani S, Gyssens I, Lowe S, Nouwen J, Afset J, Bergh K, Müller F, Simonsen G, Carevic B, Horvat O, Jankovic S, Beović B, Gorisek J, Canton R, Fariñas M, Gudiol F, Pardo J, Baño J, Harbarth S, Zanetti G, Barlow G, Brown N, Healy B, Nathwani D., Medical Microbiology & Infectious Diseases, Maladies chroniques, santé perçue, et processus d'adaptation (APEMAC), Université Paris Descartes - Paris 5 (UPD5)-Université de Lorraine (UL), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Université Paris Diderot - Paris 7 (UPD7), The Arctic University of Norway (UiT), Copenhagen University Hospital, and Hasselt University (UHasselt)
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Pediatrics ,Cross-sectional study ,MESH : Drug Prescriptions ,lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4] ,curriculum ,MESH : Drug Utilization ,law.invention ,0302 clinical medicine ,MESH : Cross-Sectional Studies ,MESH: Drug Prescriptions ,law ,Surveys and Questionnaires ,Medicine ,030212 general & internal medicine ,Duration (project management) ,MESH: Drug Utilization ,MESH : Anti-Bacterial Agents ,Schools, Medical ,Antibiotic stewardship ,0303 health sciences ,education ,Clinical pharmacology ,Schools ,Education, Medical ,[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie ,General Medicine ,BIOMEDICINA I ZDRAVSTVO. Temeljne medicinske znanosti. Farmakologija ,antibiotic stewardship ,medical student ,medical school ,questionnaire ,3. Good health ,Anti-Bacterial Agents ,Europe ,Infectious Diseases ,ntibiotic stewardship ,MESH: Communicable Diseases ,MESH : Surveys and Questionnaires ,Microbiology (medical) ,medicine.medical_specialty ,MESH : Schools, Medical ,MESH: Education, Medical ,MESH : Europe ,BIOMEDICINE AND HEALTHCARE. Basic Medical Sciences. Pharmacology ,Communicable Diseases ,Drug Prescriptions ,Antibiotic prescribing ,03 medical and health sciences ,MESH: Cross-Sectional Studies ,SDG 3 - Good Health and Well-being ,Antibiotic therapy ,Medical ,MESH: Anti-Bacterial Agents ,Curriculum ,Education ,Medical school ,Medical student ,Questionnaire ,Cross-Sectional Studies ,Drug Utilization ,Antibiotic use ,medical schoo ,MESH: Surveys and Questionnaires ,MESH : Education, Medical ,ntibiotic stewardship, curriculum, education, medical school, medical student, questionnaire ,Medical education ,MESH: Schools, Medical ,030306 microbiology ,business.industry ,MESH : Communicable Diseases ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,MESH: Europe ,business - Abstract
We surveyed European medical schools regarding teaching of prudent antibiotic prescribing in the undergraduate curriculum. We performed a cross-sectional survey in 13 European countries (Belgium, Croatia, Denmark, France, Germany, Italy, Netherlands, Norway, Serbia, Slovenia, Spain, Switzerland, United Kingdom) in 2013. Proportional sampling was used, resulting in the selection of two to four medical schools per country. A standardized questionnaire based on literature review and validated by a panel of experts was sent to lecturers in infectious diseases, medical microbiology and clinical pharmacology. In-depth interviews were conducted with four lecturers. Thirty-five of 37 medical schools were included in the study. Prudent antibiotic use principles were taught in all but one medical school, but only four of 13 countries had a national programme. Interactive teaching formats were used less frequently than passive formats. The teaching was mandatory for 53% of the courses and started before clinical training in 71%. We observed wide variations in exposure of students to important principles of prudent antibiotic use among countries and within the same country. Some major principles were poorly covered (e.g. reassessment and duration of antibiotic therapy, communication skills). Whereas 77% of the respondents fully agreed that the teaching of these principles should be prioritized, lack of time, mainly due to rigid curriculum policies, was the main reported barrier to implementation. Given the study design, these are probably optimistic results. Teaching of prudent antibiotic prescribing principles should be improved. National and European programmes for development of specific learning outcomes or competencies are urgently needed. Clinical Microbiology and Infection © 2014 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved
- Published
- 2015
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