Perceptions of antimicrobial stewardship
Identifying drivers and barriers across various professions in Canada utilizing a one health approach
Bibliographic Data
| ID | 22076394 |
|---|---|
| Authors | Kayley D McCubbin (0000-0003-4654-2705, University of Calgary, corresponding author), Ellen de Jong (0000-0002-4198-7898, University of Calgary), Anne-Marieke C Smid (0000-0001-9810-4032, University of Calgary), Jennifer A Ida (0000-0003-0703-0870, Cornell University), Julia Bodaneze (University of Calgary), R Michele Anholt (University of Calgary), Samantha Larose (University of Calgary), Simon J G Otto (0000-0002-3270-4032, University of Alberta), Herman W Barkema (0000-0002-9678-8378, University of Calgary) |
| Year | 2023 |
| Volume | 11 |
| Pages | 1222149-1222149 |
| Publication date | 2023-08-03 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2023.1222149 |
| PMID | 37637830 |
| OpenAlex | W4385502583 |
| Language | EN |
| References cited | 25 |
Introduction: As antimicrobial resistance (AMR) represents a substantial threat to the efficacy of available antimicrobial options, it is important to understand how to implement effective and practical mitigation efforts, including antimicrobial stewardship (AMS), across human, animal, and environmental sectors. Methods: = 81) were largely from the veterinary (75%) or human (19%) health sectors. Qualitative data were analyzed in NVivo using template analysis whereas quantitative data were analyzed in STATA using Kruskall-Wallis tests. The questionnaire asked respondents about their perceptions of AMS, as well as the perceived barriers and drivers of AMS efforts. Results: Perceptions of what AMS meant to the respondents personally and their profession as a whole were grouped into 3 main themes: 1) AMS strategies or considerations in antimicrobial prescribing and use; 2) responsibility to maintain health and preserve antimicrobial effectiveness; and 3) reducing antimicrobial use (AMU) as a goal of AMS efforts. Identified AMS barriers had 3 main themes: 1) lack of various prescribing and AMU support mechanisms; 2) shift in prescriber attitudes to drive change; and 3) stronger economic considerations to support shifting prescribing practices. Drivers of AMS had the following themes: 1) leadership to guide change; 2) education to support optimizing AMU; and 3) research to identify best practices and opportunities for action. Across all questions, 2 cross-cutting themes emerged: 1) a One Health understanding of AMS; and 2) blame placed on others for a lack of AMS success. Conclusion: Overall, sector-specific, but particularly cross-sectoral AMS drivers and barriers were identified, highlighting the importance of a One Health approach in AMR research and mitigation
Antibiotic resistance · Antimicrobial stewardship · Blame · Family medicine · Medical education · Perception · Political science · Psychiatry · Public relations · Qualitative property · Qualitative research · Sociology · Antibiotic Use and Resistance · Medicine · Nursing · Pharmaceutical and Antibiotic Environmental Impacts · Psychology · Zoonotic diseases and public health
| Highly cited | No |
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