Effectiveness of a training program on the knowledge and awareness of antimicrobial resistance and stewardship among dental house-surgeons
Introduction Resistance to antimicrobials poses a global threat. Dentists are frequent prescribers of antibiotics, and irrational prescribing can contribute to the burden. Educational interventions are most effective during the early years of training. This study aimed to assess improvement in knowl...
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| Format: | Article |
| Language: | English |
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European Publishing
2024-06-01
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| Series: | Public Health and Toxicology |
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| Online Access: | https://www.publichealthtoxicology.com/Effectiveness-of-a-training-program-on-the-knowledge-nand-awareness-of-antimicrobial,189989,0,2.html |
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| _version_ | 1850063286898262016 |
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| author | Venkitachalam Ramanarayanan Abhishek Sreelatha Prabhu Akarsha Sundareswaran Dona Boban |
| author_facet | Venkitachalam Ramanarayanan Abhishek Sreelatha Prabhu Akarsha Sundareswaran Dona Boban |
| author_sort | Venkitachalam Ramanarayanan |
| collection | DOAJ |
| description | Introduction
Resistance to antimicrobials poses a global
threat. Dentists are frequent prescribers of antibiotics,
and irrational prescribing can contribute to the burden.
Educational interventions are most effective during the early
years of training. This study aimed to assess improvement in
knowledge, attitude and practice of antimicrobial resistance
among dental interns following an educational intervention.
Methods
A quasi-experimental study (before and after
study) was conducted in a dental teaching institution in
Kerala, India. The module was adapted from Antimicrobial
Stewardship: A competency-based approach, A Massive Open
Online Course (MOOC) by the World Health Organization.
A post-test was conducted three months after baseline
evaluation using previously validated questionnaires
consisting of four domains (knowledge, attitude, practice,
and clinical scenarios).
Results
A total of 43 dental interns participated in the
study. The mean pre-test and post-test scores for the
knowledge domain were 7.11 ± 1.00 and 7.39 ± 1.39
(p=0.262). Mean attitude scores showed a statistically
significant increase from 6.23 ± 0.78 to 7.04 ± 0.92
(p<0.001). In the practice domain, there was a marginal
decrease in the mean scores from 6.18 ± 1.13 to 5.95 ±
1.55 (p=0.390). Response to questions in the mock clinical
scenarios showed an improvement in scores from 1.23 ± 1.08
to 1.74 ± 1.51 after the intervention, but the difference was
not statistically significant (p=0.102).
Conclusions
Implementing an educational module showed
an improved attitude towards antimicrobial resistance. No
significant changes were observed with knowledge scores,
while practice-related questions showed a marginal decline.
Clinical trial registration
The study protocol was registered
with the Clinical Trial Registry of India.
Identifier
CTRI/2022/01/039616. |
| format | Article |
| id | doaj-art-b3f1afa90d1a4f50a31e07997d4877f3 |
| institution | DOAJ |
| issn | 2732-8929 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Public Health and Toxicology |
| spelling | doaj-art-b3f1afa90d1a4f50a31e07997d4877f32025-08-20T02:49:40ZengEuropean PublishingPublic Health and Toxicology2732-89292024-06-01421710.18332/pht/189989189989Effectiveness of a training program on the knowledge and awareness of antimicrobial resistance and stewardship among dental house-surgeonsVenkitachalam Ramanarayanan0https://orcid.org/0000-0002-5587-3453Abhishek Sreelatha Prabhu1Akarsha Sundareswaran2Dona Boban3Department of Public Health Dentistry Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, IndiaDepartment of Public Health Dentistry Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, IndiaDepartment of Public Health Dentistry Amrita School of Dentistry, Amrita Vishwa Vidyapeetham, IndiaPreventIt - Risk Management and Prevention of Antibiotics Resistance Project, Amrita Institute of Medical Sciences, IndiaIntroduction Resistance to antimicrobials poses a global threat. Dentists are frequent prescribers of antibiotics, and irrational prescribing can contribute to the burden. Educational interventions are most effective during the early years of training. This study aimed to assess improvement in knowledge, attitude and practice of antimicrobial resistance among dental interns following an educational intervention. Methods A quasi-experimental study (before and after study) was conducted in a dental teaching institution in Kerala, India. The module was adapted from Antimicrobial Stewardship: A competency-based approach, A Massive Open Online Course (MOOC) by the World Health Organization. A post-test was conducted three months after baseline evaluation using previously validated questionnaires consisting of four domains (knowledge, attitude, practice, and clinical scenarios). Results A total of 43 dental interns participated in the study. The mean pre-test and post-test scores for the knowledge domain were 7.11 ± 1.00 and 7.39 ± 1.39 (p=0.262). Mean attitude scores showed a statistically significant increase from 6.23 ± 0.78 to 7.04 ± 0.92 (p<0.001). In the practice domain, there was a marginal decrease in the mean scores from 6.18 ± 1.13 to 5.95 ± 1.55 (p=0.390). Response to questions in the mock clinical scenarios showed an improvement in scores from 1.23 ± 1.08 to 1.74 ± 1.51 after the intervention, but the difference was not statistically significant (p=0.102). Conclusions Implementing an educational module showed an improved attitude towards antimicrobial resistance. No significant changes were observed with knowledge scores, while practice-related questions showed a marginal decline. Clinical trial registration The study protocol was registered with the Clinical Trial Registry of India. Identifier CTRI/2022/01/039616.https://www.publichealthtoxicology.com/Effectiveness-of-a-training-program-on-the-knowledge-nand-awareness-of-antimicrobial,189989,0,2.htmlantimicrobial resistancedentistrystewardshipknowledgeattitudepractice |
| spellingShingle | Venkitachalam Ramanarayanan Abhishek Sreelatha Prabhu Akarsha Sundareswaran Dona Boban Effectiveness of a training program on the knowledge and awareness of antimicrobial resistance and stewardship among dental house-surgeons Public Health and Toxicology antimicrobial resistance dentistry stewardship knowledge attitude practice |
| title | Effectiveness of a training program on the knowledge
and awareness of antimicrobial resistance and
stewardship among dental house-surgeons |
| title_full | Effectiveness of a training program on the knowledge
and awareness of antimicrobial resistance and
stewardship among dental house-surgeons |
| title_fullStr | Effectiveness of a training program on the knowledge
and awareness of antimicrobial resistance and
stewardship among dental house-surgeons |
| title_full_unstemmed | Effectiveness of a training program on the knowledge
and awareness of antimicrobial resistance and
stewardship among dental house-surgeons |
| title_short | Effectiveness of a training program on the knowledge
and awareness of antimicrobial resistance and
stewardship among dental house-surgeons |
| title_sort | effectiveness of a training program on the knowledge and awareness of antimicrobial resistance and stewardship among dental house surgeons |
| topic | antimicrobial resistance dentistry stewardship knowledge attitude practice |
| url | https://www.publichealthtoxicology.com/Effectiveness-of-a-training-program-on-the-knowledge-nand-awareness-of-antimicrobial,189989,0,2.html |
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