Contribution of behavioural science to antibiotic stewardship

作者: S. Tonkin-Crine , A. S. Walker , C. C. Butler

DOI: 10.1136/BMJ.H3413

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摘要: Belated recognition of its importance The prospect a world without effective antibiotics has galvanised public and professional opinion on the need to conserve our precious, shared resource antimicrobials.1 Unfortunately, how do this most effectively is far from clear. Just as with climate change, threat seems for people be largely societal in future—exemplifying so called “tragedy commons” (where individual action maximise personal benefit results harm interests population whole2). While many are already experiencing negative consequences antimicrobial resistance, taking remedial perceived adverse now, patients wanting strongest possible antibiotic cure their current infection. Antimicrobial stewardship programmes have been designed promote use antimicrobials by limiting overuse, underuse, or misuse. In UK, example include TARGET toolkit primary care3 “start smart then focus” programme secondary care.4 The prescription potentially unnecessary one target these programmes. Most prescribed care suspected infections, …

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