Gamified interventions to educate healthcare professionals on the rational use of antimicrobials

Sumana Mahadevaiah^1*Supreeta Shettar¹Yogeesh D Maheshwarappa^1,2G K Megha¹Veerbhadraswamy G S¹Chinchana E S¹Shruthi Shree S C¹

• ¹Department of Microbiology, JSS Medical College & Hospital, JSS Academy of Higher Education and Research, Mysore, Karnataka, India
• ²JSS Medical College & Hospital, JSS Academy of Higher Education and Research, Mysore, India

Background: Antimicrobial resistance [AMR] is a global problem. It is important to train health care professionals on the rational use of antimicrobials to curb AMR.Methods: This prospective interventional study was conducted with clinical practitioners, undergraduates [MBBS/Interns], postgraduates and pharmacy Students. A total of 50 participants were included in the study. The innovative games were administered for the management of infections of all the different systems of the body under the ICMR treatment guidelines of 2022 and the latest IDSA guidelines involving different components. Pre-test and post-test questionnaires were administered and evaluated. Results: After the intervention, the knowledge on the ability to differentiate between bacterial and viral symptoms in respiratory tract infections and gastroenteritis improved from 48% to 94%. The practice of using the right empirical choice of antimicrobials at the right dose for the right duration, on the basis of the severity of the infection, improved from 34 % to 82 %. The awareness/practice of using the right and rational combination of antibiotics improved from 44% to 84%. Knowledge of suspected multidrug-resistant gram-negative infections and other priority pathogens, such as methicillin-resistant Staphylococcus aureus [MRSA] and Candida infection, has improved from 32% to 78%. The practice of using certain antibiotics at specific infection sites based on the basis of their pharmacodynamics and pharmacokinetics improved from 20% to 76%. The knowledge of the intrinsic resistance of certain microorganisms to specific antimicrobial agents has improved from 15 % to 80%.The gamified intervention successfully improved participants' knowledge and awareness of rational antimicrobial use. The substantial improvements in all the aforementioned components highlight the positive impact of the intervention in promoting optimal antimicrobial use and curbing AMR. Innovative gamified interventions create better and long-lasting awareness, ensuring the appropriate use of antimicrobials.