Evidence map›Paper›PMID 33143746›Full record

SynthesisAntimicrobial resistance and infection control2020

Does the problem begin at the beginning? Medical students' knowledge and beliefs regarding antibiotics and resistance: a systematic review.

Natalia Nogueira-Uzal, Maruxa Zapata-Cachafeiro, Olalla Vázquez-Cancela, Ana López-Durán, Maria T Herdeiro, Adolfo Figueiras

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Antimicrobial resistance and infection control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Natalia Nogueira-UzalDepartment of Preventive Medicine and Public Health, University of Santiago de Compostela, 15786, Santiago de Compostela, Spain.
Maruxa Zapata-CachafeiroDepartment of Preventive Medicine and Public Health, University of Santiago de Compostela, 15786, Santiago de Compostela, Spain. maruxa.zapata@usc.es.ORCID 0000-0002-0648-7716
Olalla Vázquez-CancelaDepartment of Preventive Medicine, Santiago de Compostela University Teaching Hospital, Santiago de Compostela, Spain.
Ana López-DuránDepartment of Clinical Psychology and Psychobiology, University of Santiago de Compostela, Santiago de Compostela, Spain.
Maria T HerdeiroDepartment of Medical Sciences and Institute of Biomedicine, University of Aveiro (iBIMED-UA), Aveiro, Portugal.
Adolfo FigueirasDepartment of Preventive Medicine and Public Health, University of Santiago de Compostela, 15786, Santiago de Compostela, Spain.
Universidade de Santiago de Compostela · ESUniversity of Aveiro · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies have detected that prescribers display gaps in knowledge and inappropriate attitudes regarding antibiotics and resistances, but it is not known whether these are generated during professional practice or derive from the undergraduate stage of their education. Accordingly, the aim of this study was to identify medical students' knowledge, beliefs and attitudes regarding antibiotic use and antibiotic resistance, and whether these change over the course of their time at medical school.

methodsWe conducted a search of the MEDLINE and EMBASE databases, and included studies that measured knowledge and/or beliefs and/or attitudes regarding antibiotic prescribing and/or resistance, among medical students.

resultsOf the 509 studies retrieved, 22 met the inclusion criteria. While medical students perceived resistance as posing a major public health problem, both worldwide and in their own countries, students in the last two course years were more aware of overprescription of antibiotics in general, and of broad-spectrum antibiotics, at their teaching hospital. There was a considerable lack of knowledge about the treatment of high-incidence infections, and upper respiratory tract infections in particular (41-69% of participants believed antibiotics to be useful for treating these), without any differences by course year. Students were conscious of their personal shortcomings and thus showed willing to improve their education.

conclusionsFuture physicians display important gaps in knowledge, particularly in terms of treatment of high-incidence infections. This finding may be of use when it comes to designing more effective training in antibiotic stewardship for undergraduates.

Indexed as

Drug Resistance, MicrobialHealth Knowledge, Attitudes, PracticeStudents, MedicalAnti-Bacterial AgentsCultureEducation, MedicalHumansQuality Assurance, Health CareSelf MedicationAnti-Bacterial AgentsAntibioticsAntimicrobial resistanceBeliefsClinical educationKnowledge

Identifiers

PMID33143746
PMCPMC7607835
OpenAlexW3095519343

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.