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VOLUME 10 , ISSUE 1--4 ( January-December, 2024 ) > List of Articles


Educating Medical Undergraduates on Rational Antimicrobial Prescribing and Stewardship: A Fundamental Step Toward Tackling Global Antimicrobial Resistance Pandemic

Niti Mittal, Parul Punia, Shaveta Siwach, Kanchan Kalra, Jyoti Kaushal, Rakesh Mittal

Keywords : Antimicrobial surveillance, Antimicrobial stewardship, Blended teaching, Infection control practices, Healthcare-associated infections, Undergraduate curriculum

DOI: 10.5005/jp-journals-10045-00266

License: CC BY-NC 4.0

Published Online: 20-06-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Background and aims: There is an existing gap in medical undergraduate curriculum in the field of antimicrobial resistance (AMR) and antimicrobial stewardship (AMS). We designed and implemented a 2-week training program on AMR and AMS for 3rd-year medical undergraduates as part of elective postings under the new ”competency-based undergraduate curriculum for the Indian medical graduate.” Materials and methods: The “elective posting on AMR and AMS” was conducted in two separate 2-week blocks/sessions involving a total of 30 students. The training comprised blended teaching-learning methods and included four different educational modules (1 week each), namely AMR; antimicrobial prescribing; AMS; and antibiotic allergy, antimicrobial surveillance, and community awareness. Results: Posttraining, there was a consistent increase in the number of correct responses to all knowledge-based questions pertaining to the four modules. A significant improvement in knowledge scores for all modules from baseline was also seen. The students rated the overall quality of training as very good and suggested the incorporation of such training in the routine undergraduate curriculum. All the faculty also agreed on the importance of such training at the undergraduate level and the suitability of content of modules. Conclusion: Medical students should be the target of teaching on principles and practices of antimicrobial prescribing and stewardship. An early start among future prescribers should provide a foundation for appreciating the importance of AMS and adoption of rational antibiotic prescribing practices.

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