Tackling Antimicrobial Resistance by promoting Antimicrobial stewardship in Medical and Allied Health Professional Curricula

Expert Rev Anti Infect Ther. 2020 Dec;18(12):1245-1258. doi: 10.1080/14787210.2020.1796638. Epub 2020 Aug 17.

Abstract

Introduction: Antimicrobial resistance poses a serious threat to global health with significantly higher morbidity, mortality, and economic burden. This review aims to discuss the importance of the promotion of antimicrobial stewardship in medical and allied health professional curricula and training/educating tomorrow's doctors in combatting antimicrobial resistance. A narrative literature review was conducted to retrieve relevant information related to antimicrobial resistance and stewardship and their implications on medical and allied health professional education and training from searches of computerized databases, hand searches, and authoritative texts.

Areas covered: Antimicrobial stewardship programs improve rational antibiotic use, reduce antimicrobial resistance, decrease complications of antibiotic use, and improve patient outcomes. Though health professional students recognize the importance and impact of antibiotic prescribing knowledge, many studies have consistently demonstrated low levels of confidence and competencies amongst students, highlighting that health professional schools failed to prepare them to prescribe antibiotics accurately.

Expert opinion: There is an urgent call for the integration of antimicrobial stewardship teaching at the undergraduate level of medical education to train future prescribers on this critical aspect of public health. Proper undergraduate education on rational antibiotics use would enable health professional graduates to enter clinical practice with adequate competencies to become rational prescribers.

Keywords: Antimicrobial resistance; antibiotic stewardship; curriculum; health professional education and training; prudent prescribing.

Publication types

  • Review

MeSH terms

  • Allied Health Personnel / education*
  • Anti-Infective Agents / administration & dosage*
  • Antimicrobial Stewardship / standards*
  • Clinical Competence
  • Curriculum
  • Drug Resistance, Microbial
  • Education, Medical, Undergraduate / methods
  • Humans
  • Practice Patterns, Physicians' / statistics & numerical data

Substances

  • Anti-Infective Agents