Survey on the Proper Use of Antibiotics and Bacterial Resistance among Prescribing Students at the UFR of Health Sciences of Thiès, Senegal
TL;DR
Strengthening practical training in rational prescribing, improving access to microbiological guidance, and reinforcing supervision during clinical training may help promote more appropriate antibiotic use among prescribing medical students in Senegal.
Abstract
Background: Antimicrobial resistance is a major public health concern, and appropriate antibiotic use is essential to preserve therapeutic effectiveness. This study assessed knowledge, attitudes, practices, and perceptions regarding antibiotic use and bacterial resistance among prescribing medical students at the UFR of Health Sciences of Thiès, Senegal. Methods: A descriptive, analytical, cross-sectional survey was conducted using an anonymised, self-administered, semi-structured questionnaire. Of 855 students, 147 participated, representing a participation rate of 17.2%. Results: Antibiotic use during the previous 12 months was reported by 74.8% of respondents. Although most students recognised the antibacterial role of antibiotics and the risk of resistance associated with inappropriate use, only 63.3% reported using antibiotics exclusively on medical prescription. Antibiotic prescribing most frequently concerned urinary and respiratory infections. Practice habits, limited access to an antibiogram, and fear of complications were prominent factors influencing antibiotic choice. The mean overall knowledge, attitudes, and perceptions score was 11.82 ± 2.173 out of 15; 52.38% of students had an average overall score and 42.86% had a good score. Recent antibiotic consumption was significantly associated with the overall score (p < 0.001). Conclusion: The findings indicate comparatively strong theoretical knowledge but less consistent attitudes and practices. Strengthening practical training in rational prescribing, improving access to microbiological guidance, and reinforcing supervision during clinical training may help promote more appropriate antibiotic use.