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Perceptions of antimicrobial stewardship: identifying drivers and barriers across various professions in Canada utilizing a one health approach
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 environm...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10456999/ https://www.ncbi.nlm.nih.gov/pubmed/37637830 http://dx.doi.org/10.3389/fpubh.2023.1222149 |
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author | McCubbin, Kayley D. de Jong, Ellen Smid, Anne-Marieke C. Ida, Jennifer A. Bodaneze, Julia Anholt, R. Michele Larose, Samantha Otto, Simon J. G. Barkema, Herman W. |
author_facet | McCubbin, Kayley D. de Jong, Ellen Smid, Anne-Marieke C. Ida, Jennifer A. Bodaneze, Julia Anholt, R. Michele Larose, Samantha Otto, Simon J. G. Barkema, Herman W. |
author_sort | McCubbin, Kayley D. |
collection | PubMed |
description | 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: A mixed-methods questionnaire was distributed virtually to attendees of the virtual One Health Antimicrobial Stewardship Conference (March 10–12, 2021) and their professional networks. Respondents (n = 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. |
format | Online Article Text |
id | pubmed-10456999 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-104569992023-08-26 Perceptions of antimicrobial stewardship: identifying drivers and barriers across various professions in Canada utilizing a one health approach McCubbin, Kayley D. de Jong, Ellen Smid, Anne-Marieke C. Ida, Jennifer A. Bodaneze, Julia Anholt, R. Michele Larose, Samantha Otto, Simon J. G. Barkema, Herman W. Front Public Health Public Health 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: A mixed-methods questionnaire was distributed virtually to attendees of the virtual One Health Antimicrobial Stewardship Conference (March 10–12, 2021) and their professional networks. Respondents (n = 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. Frontiers Media S.A. 2023-08-03 /pmc/articles/PMC10456999/ /pubmed/37637830 http://dx.doi.org/10.3389/fpubh.2023.1222149 Text en Copyright © 2023 McCubbin, de Jong, Smid, Ida, Bodaneze, Anholt, Larose, Otto and Barkema. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health McCubbin, Kayley D. de Jong, Ellen Smid, Anne-Marieke C. Ida, Jennifer A. Bodaneze, Julia Anholt, R. Michele Larose, Samantha Otto, Simon J. G. Barkema, Herman W. Perceptions of antimicrobial stewardship: identifying drivers and barriers across various professions in Canada utilizing a one health approach |
title | Perceptions of antimicrobial stewardship: identifying drivers and barriers across various professions in Canada utilizing a one health approach |
title_full | Perceptions of antimicrobial stewardship: identifying drivers and barriers across various professions in Canada utilizing a one health approach |
title_fullStr | Perceptions of antimicrobial stewardship: identifying drivers and barriers across various professions in Canada utilizing a one health approach |
title_full_unstemmed | Perceptions of antimicrobial stewardship: identifying drivers and barriers across various professions in Canada utilizing a one health approach |
title_short | Perceptions of antimicrobial stewardship: identifying drivers and barriers across various professions in Canada utilizing a one health approach |
title_sort | perceptions of antimicrobial stewardship: identifying drivers and barriers across various professions in canada utilizing a one health approach |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10456999/ https://www.ncbi.nlm.nih.gov/pubmed/37637830 http://dx.doi.org/10.3389/fpubh.2023.1222149 |
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