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Chennai: Changes to medical school curriculum to include lessons in antimicrobial stewardship and role-modelling by teachers are needed to reduce abuse of drugs that leads to antimicrobial resistance, scientists from the city concluded after a study in five city medical colleges.
The study evaluated effectiveness of an online educational intervention on antimicrobial resistance knowledge among final-year medical students. It showed a “modest” improvement, said the study published in the Journal of Medical Education and Curricular Development. “The coverage of AMR (antimicrobial resistance) and stewardship in the Indian medical school curriculum is grossly inadequate,” said senior infectious diseases expert Dr V Ramasubramanian, one of the authors.
AMR contributes to nearly 5 million deaths annually, more than half of them in South and South-East Asia. The drivers of AMR include abuse and overuse of antimicrobials in humans, easy over-the-counter availability, and poor enforcement of antimicrobial stewardship, scientists said.
For the study, 599 students were first given a test to evaluate baseline knowledge and then provided access to online material comprising 20 short lectures. They took a test at the end of these modules. “There was an improvement in knowledge, however, it did not meet the predefined metric of success,” said the corresponding author Dr Bharath Kumar Tirupakuzhi Vijayaraghavan, critical care medicine department, Apollo Hospitals
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