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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/18988

Title: European survey on principles of prudent antibiotic prescribing teaching in undergraduate students
Authors: Pulcini, C.
Wencker, F.
Frimodt-Moller, N.
Kern, W. V.
Nathwani, D.
Rodriguez-Bano, J.
Simonsen, G. S.
Vlahovic-Palcevski, V.
Issue Date: 2015
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 (C) 2014 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
Notes: [Pulcini, C.] CHU Nancy, Serv Malad Infect, Nancy, France. [Pulcini, C.] Univ Paris 05, Univ Lorraine, EA Apemac 4360, Nancy, France. [Wencker, F.; Gyssens, I. C.] Radboud Univ Nijmegen, Dept Med, Med Ctr, NL-6525 ED Nijmegen, Netherlands. [Wencker, F.; Gyssens, I. C.] Canisius Wilhelmina Hosp, Dept Med Microbiol & Infect Dis, Nijmegen, Netherlands. [Frimodt-Moller, N.] Copenhagen Univ Hosp, Rigshosp, Dept Clin Microbiol, Copenhagen, Denmark. [Kern, W. V.] Univ Hosp, Dept Med, Ctr Infect Dis & Travel Med, Freiburg, Germany. [Nathwani, D.] Univ Dundee, Ninewells Hosp & Med Sch, Infect Unit, Dundee DD1 9SY, Scotland. [Rodriguez-Bano, J.] Hosp Univ Virgen Macarena & Virgen Rocio, Unidad Clin Enfermedades Infecciosas Microbiol &, Seville, Spain. [Rodriguez-Bano, J.] Univ Seville, Dept Med, Seville, Spain. [Simonsen, G. S.] Univ Hosp North Norway, Dept Microbiol & Infect Control, Tromso, Norway. [Simonsen, G. S.] UiT Arctic Univ Norway, Fac Hlth Sci, Res Grp Host Microbe Interact, Tromso, Norway. [Vlahovic-Palcevski, V.] Univ Hosp Rijeka, Dept Clin Pharmacol, Rijeka, Croatia. [Vlahovic-Palcevski, V.] Univ Rijeka, Fac Med, Dept Pharmacol, Rijeka, Croatia. [Gyssens, I. C.] Hasselt Univ, Hasselt, Belgium. Corresponding author: C. Pulcini, CHU de Nancy, Hôpitaux de Brabois, Service de maladies infectieuses et tropicales, 54511 Vandœuvre-lès-Nancy cedex, France
URI: http://hdl.handle.net/1942/18988
DOI: 10.1016/j.cmi.2014.11.015
ISI #: 000355049200009
ISSN: 1198-743X
Category: A1
Type: Journal Contribution
Validation: ecoom, 2016
Appears in Collections: Research publications

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