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Knowledge regarding antibiotic use among students of three medical schools in Medellin, Colombia: A cross-sectional study
Luis Felipe Hguita-Gutiérrez
Universidad Cooperativa de Colombia Facultad de Medicina
Corresponding Author
ORCiD: https://orcid.org/0000-0003-1361-3124
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This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Medical Education.
Background The objective of the present study was to describe the knowledge regarding the antibiotic therapy of students of three medical schools in Medellín, Colombia.
Methods The study population comprised medical students who were enrolled in three universities. The instrument contained questions regarding their current academic term, the university, the perceived quality of the education received on antibiotic therapy and bacterial resistance, and specific questions on upper respiratory tract infections, pneumonia, urinary tract infections, and skin and soft tissue infections. The information was analyzed by calculating frequencies and measures of dispersion and central tendency. Knowledge regarding the treatment for each type of infection was compared using the Mann–Whitney U test and the Kruskal–Wallis H test.
Results We included 536 medical students, of which 43.5% students consider that the university has not sufficiently trained them to interpret antibiograms and 29.6% students consider that the quality of information received on the subject at their university ranges from regular to poor. The mean score for knowledge regarding antibiotic therapy for upper respiratory tract infections was 44.2 (9.9) on a scale from 0 to 100. The median score with regard to the treatment of pneumonia was 52.9 (14.7), that of urinary tract infection was 58.7 (14.8), and that of skin and soft tissue infections was 63.1 (19.4). The knowledge regarding antibiotic therapy for upper respiratory tract infections, pneumonia, and urinary tract infection does not improve with the academic term, the university, or perceived quality of the education received.
Conclusion A large proportion of medical students perceive that the training received from the university is insufficient with regard to antibiotic use and bacterial resistance, which is consistent with the limited knowledge reflected in the selection of antibiotic treatment for respiratory, urinary tract, and skin and soft tissue infections. Overall, the situation was identical among all universities, and it did not significantly increase with the completion of an academic term.
Keywords
Antibiotic resistance, education medical, Prescription Drug Misuse
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CURRENT STATUS: Published
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Posted 14 Jan, 2020
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On 28 Jan, 2020
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Editorial decision: Accept
On 13 Jan, 2020
Editor assigned
On 10 Jan, 2020
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On 09 Jan, 2020
Editor invited
On 09 Jan, 2020
No comments provided
Editorial decision: Minor revision
On 08 Jan, 2020
Review #2 received
Received 22 Dec, 2019
Reviewer #2 agreed
On 13 Dec, 2019
Review #1 received
Received 13 Dec, 2019
Reviewers invited
Invitations sent on 12 Dec, 2019
Reviewer #1 agreed
On 12 Dec, 2019
Editor assigned
On 04 Dec, 2019
Submission checks complete
On 03 Dec, 2019
Editor invited
On 03 Dec, 2019
No comments provided
Editorial decision: Major revision
On 04 Nov, 2019
Review #3 received
Received 31 Oct, 2019
Review #2 received
Received 21 Oct, 2019
Review #1 received
Received 20 Oct, 2019
Reviewer #3 agreed
On 19 Oct, 2019
Reviewer #2 agreed
On 16 Oct, 2019
Reviewer #1 agreed
On 14 Oct, 2019
Reviewers invited
Invitations sent on 04 Sep, 2019
Editor assigned
On 16 Aug, 2019
Submission checks complete
On 02 Aug, 2019
Editor invited
On 02 Aug, 2019
First submitted
On 30 Jul, 2019
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Subject Areas
Educational Philosophy and Theory
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This preprint is under consideration at BMC Medical Education. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Knowledge regarding antibiotic use among students of three medical schools in Medellin, Colombia: A cross-sectional study
Luis Felipe Hguita-Gutiérrez
Universidad Cooperativa de Colombia Facultad de Medicina
Corresponding Author
ORCiD: https://orcid.org/0000-0003-1361-3124
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 3
Posted 14 Jan, 2020
Published
On 28 Jan, 2020
No community comments so far
Editorial decision: Accept
On 13 Jan, 2020
Editor assigned
On 10 Jan, 2020
Submission checks complete
On 09 Jan, 2020
Editor invited
On 09 Jan, 2020
No comments provided
Editorial decision: Minor revision
On 08 Jan, 2020
Review #2 received
Received 22 Dec, 2019
Reviewer #2 agreed
On 13 Dec, 2019
Review #1 received
Received 13 Dec, 2019
Reviewers invited
Invitations sent on 12 Dec, 2019
Reviewer #1 agreed
On 12 Dec, 2019
Editor assigned
On 04 Dec, 2019
Submission checks complete
On 03 Dec, 2019
Editor invited
On 03 Dec, 2019
No comments provided
Editorial decision: Major revision
On 04 Nov, 2019
Review #3 received
Received 31 Oct, 2019
Review #2 received
Received 21 Oct, 2019
Review #1 received
Received 20 Oct, 2019
Reviewer #3 agreed
On 19 Oct, 2019
Reviewer #2 agreed
On 16 Oct, 2019
Reviewer #1 agreed
On 14 Oct, 2019
Reviewers invited
Invitations sent on 04 Sep, 2019
Editor assigned
On 16 Aug, 2019
Submission checks complete
On 02 Aug, 2019
Editor invited
On 02 Aug, 2019
First submitted
On 30 Jul, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Educational Philosophy and Theory
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Medical Education.
Background The objective of the present study was to describe the knowledge regarding the antibiotic therapy of students of three medical schools in Medellín, Colombia.
Methods The study population comprised medical students who were enrolled in three universities. The instrument contained questions regarding their current academic term, the university, the perceived quality of the education received on antibiotic therapy and bacterial resistance, and specific questions on upper respiratory tract infections, pneumonia, urinary tract infections, and skin and soft tissue infections. The information was analyzed by calculating frequencies and measures of dispersion and central tendency. Knowledge regarding the treatment for each type of infection was compared using the Mann–Whitney U test and the Kruskal–Wallis H test.
Results We included 536 medical students, of which 43.5% students consider that the university has not sufficiently trained them to interpret antibiograms and 29.6% students consider that the quality of information received on the subject at their university ranges from regular to poor. The mean score for knowledge regarding antibiotic therapy for upper respiratory tract infections was 44.2 (9.9) on a scale from 0 to 100. The median score with regard to the treatment of pneumonia was 52.9 (14.7), that of urinary tract infection was 58.7 (14.8), and that of skin and soft tissue infections was 63.1 (19.4). The knowledge regarding antibiotic therapy for upper respiratory tract infections, pneumonia, and urinary tract infection does not improve with the academic term, the university, or perceived quality of the education received.
Conclusion A large proportion of medical students perceive that the training received from the university is insufficient with regard to antibiotic use and bacterial resistance, which is consistent with the limited knowledge reflected in the selection of antibiotic treatment for respiratory, urinary tract, and skin and soft tissue infections. Overall, the situation was identical among all universities, and it did not significantly increase with the completion of an academic term.
Figure 1
Figure 2
Figure 3
Figure 4