Data di Pubblicazione:
2019
Citazione:
How to improve antibiotic awareness campaigns: Findings of a WHO global survey / B. Huttner, M. Saam, L. Moja, K. Mah, M. Sprenger, S. Harbarth, N. Magrini. - In: BMJ GLOBAL HEALTH. - ISSN 2059-7908. - 4:3(2019), pp. e001239.1-e001239.9. [10.1136/bmjgh-2018-001239]
Abstract:
Introduction We aimed to examine the characteristics of antibiotic awareness campaigns (AAC) conducted on a national or regional level since 2010. Methods In October 2016, the WHO invited stakeholders involved in the planning or conduct of AACs to answer a web questionnaire. We solicited general information about the characteristics of the AAC, with a particular focus on key messages supporting optimal use of antibiotics. Results Stakeholders in 93 countries were contacted and 55 countries responded. Overall, 60 AACs from 16 low/middle-income countries (LMIC) and 31 high-income countries were identified. Forty-five campaigns (75%) were conducted on a national level and most of them (47/60; 78%) were organised by public health authorities and publicly funded. There were no major differences between LMICs and high-income countries in the types of key messages. The scientifically questionable 'Finish your prescription' slogan was used by 31 AACs (52%). A One Health approach was mentioned in 13/60 AACs (22%). Most messages were universally applicable; adaptation to locally prevalent public misconceptions was not systematic. The evaluation of the impact of campaigns was still incomplete, as only 18 AACs (30%) assessed their impact on antibiotic use. Conclusion For future AACs, it seems essential to base messages more rigorously on scientific evidence, context specificities and behavioural change theory. A new generation of messages that encourage first-choice use of narrow spectrum antibiotics is needed, reflecting international efforts to preserve broad spectrum antibiotic classes. Evaluation of the impact of AACs remains suboptimal.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Public knowledge; resistance; impact; stewardship; consumption; influenza; drivers; France; Europe; care
Elenco autori:
B. Huttner, M. Saam, L. Moja, K. Mah, M. Sprenger, S. Harbarth, N. Magrini
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