How to educate prescribers in antimicrobial stewardship practices

Widespread antimicrobial use has compromised its value, leading to a crisis of antimicrobial resistance. A major cause of misuse is insufficient knowledge of prescribing of antimicrobials in many categories of professionals. An important principle of antimicrobial stewardship is avoiding selection p...

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Bibliographic Details
Published inVirulence Vol. 4; no. 2; pp. 192 - 202
Main Authors Pulcini, Céline, Gyssens, Inge C.
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis 15.02.2013
Landes Bioscience
Subjects
Anti-Bacterial Agents - therapeutic use
antibiotic policies
antibiotic prescribing
antimicrobial stewardship
Bacteria - drug effects
Bacterial Infections - drug therapy
clinical practice guidelines
Drug Prescriptions - standards
Drug Resistance, Multiple, Bacterial
Drug Therapy - methods
Drug Therapy - standards
Drug Utilization - standards
Education, Medical, Undergraduate - methods
Humans
implementation
intervention strategies
postgraduate education
Review
undergraduate curriculum
intervention strategies
clinical practice guidelines
postgraduate education
antibiotic policies
antimicrobial stewardship
antibiotic prescribing
implementation
undergraduate curriculum
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Summary:Widespread antimicrobial use has compromised its value, leading to a crisis of antimicrobial resistance. A major cause of misuse is insufficient knowledge of prescribing of antimicrobials in many categories of professionals. An important principle of antimicrobial stewardship is avoiding selection pressure in the patient, both on pathogen and commensal by avoiding unnecessary use, choosing the least broad-spectrum antibiotic, adequate doses, a good timing and the shortest possible duration. Up to now, most educational efforts have been targeted at professionals (mostly medical doctors) after their training and at the adult public. In the past few years, progress has been made in educating children. It is now crucial that academia and ministries of Health and Education jointly focus on an adapted undergraduate medical/professional curriculum that teaches all necessary principles of microbiology, infectious diseases and clinical pharmacology, with emphasis on the principles of prudent prescribing.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:2150-5594
2150-5608
DOI:10.4161/viru.23706