| Abstract | Cilj: Cilj ovog istraživanja je procijeniti znanja i stavove studenata medicine, medicine na engleskom jeziku, dentalne medicine i farmacije Medicinskog fakulteta Sveučilišta u Splitu prema uporabi antibiotika i rezistenciji na antibiotike te usporediti stavove i znanja studenata određenog studija od prve do zadnje godine, te drugih studija.
Materijali i metode: U ovom radu napravljeno je transverzalno istraživanje, metodom upitnika. Upitnik je bio u potpunosti anoniman i podijeljen je svim studentima Medicinskog fakulteta Sveučilišta u Splitu koji su pohađali nastavu kroz travanj i svibanj 2018. godine. U istraživanju je sudjelovalo 947 studenata. Studentima je u anketi naveden cilj istraživanja, te su traženi u prvom dijelu opći podaci, a u drugom stavovi i znanja o uzimanju antibiotika i rezistenciji na antibiotike. Podaci su obrađeni u programu Microsoft Office Excel 2016. Napravljena je deskriptivna analiza uzoraka, a rezultati su prikazani u postocima za dihotomne varijable, te medijan ili srednja vrijednost ± standardna devijacija (SD) za kontinuirane varijable.
Rezultati: U istraživanju je sudjelovalo 947 studenata, od ukupno 1107 upisanih (85,6 %). Kad je u pitanju znanje, trećina studenata dentalne medicine, četvrtina studenata medicine i farmacije smatra da je paracetamol antibiotik za smanjenje boli. Međutim, ovaj postotak se značajno smanjuje od prve do apsolventske godine na svim studijima.
Od studenata 6. godine medicine, njih 18 % koristi ostatke antibiotika u slučaju povratka bolesti, a postotak je i veći na studiju medicine na engleskom jeziku, gdje 24 % studenata završne godine pokazuje ovakvo ponašanje. Iako su studenti naveli da poznaju smjernice, svega 23 % studenata na koncu 6. godine medicine može navesti ispravnu smjernicu, a na engleskom studiju niti jedan student zadnje godine studija. Na dentalnoj medicini sedam studenata na cijelom studijskom programu je imenovalo neku konkretnu smjernicu. Studenti farmacije su se pokazali najupućenijima, pošto je 76 % na posljednjoj studijskoj godini imenovalo ISKRA smjernice.
Zaključak: U ovom radu pokazali smo da, iako imaju teorijsko znanje, studenti medicine, medicine na engleskom jeziku, dentalne medicine i farmacije ne ponašaju se uvijek u skladu s naučenim, kad je u pitanju ispravno korištenje antibiotika. Također, studenti su pokazali loše znanje po pitanju korištenja smjernica, te bi se svakako savjetovalo uvođenje, ako ne cijelog kolegija, barem neke vrste edukacije u sklopu predmeta na višim godinama studija. |
| Abstract (english) | Objectives: The aim of this study was to assess the knowledge and attitudes of medical students in Croatian and English programme, students of dental medicine and pharmacy at the University of Split School of Medicine toward the use of the antibiotics and the resistance to the antibiotics; to compare the attitudes and knowledge of the students at the particular study from the first to the last year, and the other studies.
Materials and methods: In this study, a transversal survey was conducted using the questionnaire. The questionnaire was fully anonymous and distributed to all students who attended classes from the April to the May 2018. The total number of the students who participated in the research was 947. In the first part of the questionnaire students were asked for general information. In second part they answered about their attitutes and knowledge on taking antibiotics and resistance to antibiotics. Descriptive sample analysis was performed, and the results are presented in the percentage for the dichotomous variables, and the median or mean ± standard deviation (SD) for the continuous variables.
Results: The study involved 947 students, out of a total of 1107 enrolled (85,6 %). A third of dental students, and a quarter of medical and pharmacy students believe that paracetamol is an antibiotic that reduces pain. However, this percentage is significantly decreased from the first to the final years in all studies. 18 % of students in the 6th year of medicine use antibiotic residues in the event of a disease return, and the percentage is even higher, 24 %, for medicial studies in english students. Only 23 % of students at the end of the 6th year of medicine could indicate the correct guidelines, and none in the English programme. Seven students of dental medicine have named a specific guidelines in the entire study program. Pharmacy students were the most informed, since 76 % of the last year of the study programme have named ISKRA guidelines.
Conclusion: Although the students have theoretical knowledge, they do not always behave according to what they learned when it comes to proper use of antibiotics. Students have shown inadequate knowledge of the use of guidelines. Therefore, continous education on this topic is needed, at least more information at the higher years of the studies. |
