How to improve antibiotic awareness campaigns: findings of a WHO global survey
How to improve antibiotic awareness campaigns: findings of a WHO global survey
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DOI：
10.1136/bmjgh-2018-001239
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发表时间：
2019-05-01
影响因子：
8.1
通讯作者：
Magrini, Nicola
中科院分区：
文献类型：
--
作者：
Huttner, Benedikt;Saam, Mirko;Magrini, Nicola
引言我们的目的是检查自2010年以来在国家或区域层面开展的抗生素意识运动（AAC）的特征。方法2016年10月，世卫组织邀请参与规划或开展AAC的利益相关者回答网络问卷。我们征求了有关AAC特征的一般信息，特别关注支持最佳使用抗生素的关键信息。结果联系了93个国家的利益相关者，并有55个国家做出了回应。总共确定了来自16个低/中等收入国家和31个高收入国家的60个行政咨询委员会。在国家一级开展了45项运动（75%），其中大多数（47/60; 78%）由公共卫生当局组织并由公共资金资助。低收入国家和高收入国家在关键信息的类型方面没有重大差异。31个AAC（52%）使用了科学上有问题的“完成你的处方”口号。60个咨询委员会中有13个（22%）提到了“一个健康”办法。大多数信息都是普遍适用的;没有系统地适应当地普遍存在的公众误解。运动的影响的评估仍然是不完整的，只有18个AAC（30%）评估其对抗生素use.Conclusion的影响，对于未来的AAC，它似乎是必不可少的基础信息更严格的科学证据，具体情况和行为改变理论。需要新一代的信息，鼓励首选使用窄谱抗生素，反映国际社会为保护广谱抗生素类别所做的努力。对AAC影响的评价仍然不够理想。
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.