How to educate prescribers in antimicrobial stewardship practices

Virulence. 2013 Feb 15;4(2):192-202. doi: 10.4161/viru.23706. Epub 2013 Jan 29.

Abstract

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.

Keywords: antibiotic policies; antibiotic prescribing; antimicrobial stewardship; clinical practice guidelines; implementation; intervention strategies; postgraduate education; undergraduate curriculum.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Bacteria / drug effects
  • Bacterial Infections / drug therapy*
  • Drug Prescriptions / standards*
  • Drug Resistance, Multiple, Bacterial
  • Drug Therapy / methods
  • Drug Therapy / standards*
  • Drug Utilization / standards*
  • Education, Medical, Undergraduate / methods*
  • Humans

Substances

  • Anti-Bacterial Agents