Impact of educational session on knowledge and attitude towards antimicrobial prescribing and awareness about antimicrobial resistance among undergraduate medical, dental and nursing students: a comparative study

Tushar Jayant Tamboli, H. P. Pundarikaksha, Manjunatha Ramaiah, Kirtan Anandbhai Bhatt, Shruthi Rajendra Prasad


Background: Educational interventions targeting undergraduate medical students provide a great opportunity to strengthen the efforts to promote rational prescribing and to decrease antimicrobial resistance. A better understanding of knowledge and beliefs of students about issues of antimicrobial use and resistance, and analysing the improvement after educational session, can assist in devising an effectively tailored educational intervention. The objective of this study was to comparison of knowledge and attitude about antimicrobial prescribing and awareness about resistance amongst medical, dental and nursing undergraduates before and after an educational session on antimicrobial use and resistance.

Methods: A pre-validated questionnaire on knowledge and attitude about antimicrobial use and resistance was distributed to second year medical (80), dental (61) and nursing (37) students before and after an educational session. Results obtained were compared within and between the groups by using paired t-test and one-way ANOVA respectively. P-value<0.05 was considered to be statistically significant.

Results: All groups showed statistically significant improvement in knowledge and attitude scores following the session on antimicrobial use and resistance (P<0.001). Post-session attitude scores of medical students were better than that of dental and was statistically significant (P=0.006). The pre-session evaluation showed that medical students had better knowledge and attitude about antimicrobial use and resistance as compared to dental (P<0.001) and nursing students(P<0.001).

Conclusions: Significant improvement in attitude and basic knowledge following an educational session about antimicrobial prescribing and awareness about antimicrobial resistance in undergraduate students suggest establishment of special course on rational prescription of antimicrobials in undergraduate curriculum.


Antimicrobial prescribing, Antimicrobial resistance, Educational session

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