Opportunities and challenges to improving antibiotic prescribing practices through a One Health approach: Results of a comparative survey of doctors, dentists and veterinarians in Australia

Zhuo, A; Labbate, M; Norris, JM; Gilbert, GL; Ward, MP; Bajorek, BV; Degeling, C; Rowbotham, SJ; Dawson, A; Nguyen, KA; Hill-Cawthorne, GA; Sorrell, TC; Govendir, M; Kesson, AM; Iredell, JR; Dominey-Howes, D

Opportunities and challenges to improving antibiotic prescribing practices through a One Health approach: Results of a comparative survey of doctors, dentists and veterinarians in Australia

Zhuo, A Labbate, M

Norris, JM Gilbert, GL Ward, MP Bajorek, BV

Degeling, C Rowbotham, SJ Dawson, A Nguyen, KA Hill-Cawthorne, GA Sorrell, TC Govendir, M Kesson, AM Iredell, JR Dominey-Howes, D

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Publication Type:: Journal Article
Citation:: BMJ Open, 2018, 8 (3)
Issue Date:: 2018-03-01

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Field	Value	Language
dc.contributor.author	Zhuo, A	en_US
dc.contributor.author	Labbate, M https://orcid.org/0000-0003-1428-3382	en_US
dc.contributor.author	Norris, JM	en_US
dc.contributor.author	Gilbert, GL	en_US
dc.contributor.author	Ward, MP	en_US
dc.contributor.author	Bajorek, BV https://orcid.org/0000-0002-2532-7187	en_US
dc.contributor.author	Degeling, C	en_US
dc.contributor.author	Rowbotham, SJ	en_US
dc.contributor.author	Dawson, A	en_US
dc.contributor.author	Nguyen, KA	en_US
dc.contributor.author	Hill-Cawthorne, GA	en_US
dc.contributor.author	Sorrell, TC	en_US
dc.contributor.author	Govendir, M	en_US
dc.contributor.author	Kesson, AM	en_US
dc.contributor.author	Iredell, JR	en_US
dc.contributor.author	Dominey-Howes, D https://orcid.org/0000-0003-2677-2837	en_US
dc.date.issued	2018-03-01	en_US
dc.identifier.citation	BMJ Open, 2018, 8 (3)	en_US
dc.identifier.uri	http://hdl.handle.net/10453/126143
dc.description.abstract	© 2018 Article author(s). Objectives To explore and compare the knowledge, attitudes and experiences of doctors, dentists and veterinarians (as prescribers) in relation to antibiotic use and antibiotic resistance (AbR), and to consider the implications of these for policy-making that support a One Health approach. Design A cross-sectional survey conducted online. Setting Doctors, dentists and veterinarians practising in primary, secondary or tertiary care in Australia. Participants 547 doctors, 380 dentists and 403 veterinarians completed the survey. Main outcome measures Prescribers' knowledge, attitudes and perceptions of AbR, the extent to which a range of factors are perceived as barriers to appropriate prescribing practices, and perceived helpfulness of potential strategies to improve antibiotic prescribing in practice. Results There was substantial agreement across prescriber groups that action on AbR is required by multiple sectors and stakeholders. However, prescribers externalised responsibility to some extent by seeing the roles of others as more important than their own in relation to AbR. There were common and context-specific barriers to optimal prescribing across the prescriber groups. Prescriber groups generally perceived restrictive policies as unhelpful to supporting appropriate prescribing in their practice. Conclusions The results have implications for implementing a One Health approach that involves doctors, dentists and veterinarians as key players to tackling the crisis of AbR. The findings are that (1) prescribers understand and are likely receptive to a One Health policy approach to AbR, (2) policy development should be sensitive to barriers that are specific to individual prescriber groups and (3) the development and introduction of interventions that might be perceived as reducing prescriber autonomy will need to be carefully designed and implemented.	en_US
dc.relation.ispartof	BMJ Open	en_US
dc.relation.isbasedon	10.1136/bmjopen-2017-020439	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Anti-Bacterial Agents	en_US
dc.subject.mesh	Cross-Sectional Studies	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Dentists	en_US
dc.subject.mesh	Physicians	en_US
dc.subject.mesh	Veterinarians	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Surveys and Questionnaires	en_US
dc.subject.mesh	Practice Patterns, Physicians'	en_US
dc.subject.mesh	One Health	en_US
dc.title	Opportunities and challenges to improving antibiotic prescribing practices through a One Health approach: Results of a comparative survey of doctors, dentists and veterinarians in Australia	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	8	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1199 Other Medical and Health Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Science
pubs.organisational-group	/University of Technology Sydney/Faculty of Science/School of Life Sciences
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	open_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	8	en_US

Abstract:

© 2018 Article author(s). Objectives To explore and compare the knowledge, attitudes and experiences of doctors, dentists and veterinarians (as prescribers) in relation to antibiotic use and antibiotic resistance (AbR), and to consider the implications of these for policy-making that support a One Health approach. Design A cross-sectional survey conducted online. Setting Doctors, dentists and veterinarians practising in primary, secondary or tertiary care in Australia. Participants 547 doctors, 380 dentists and 403 veterinarians completed the survey. Main outcome measures Prescribers' knowledge, attitudes and perceptions of AbR, the extent to which a range of factors are perceived as barriers to appropriate prescribing practices, and perceived helpfulness of potential strategies to improve antibiotic prescribing in practice. Results There was substantial agreement across prescriber groups that action on AbR is required by multiple sectors and stakeholders. However, prescribers externalised responsibility to some extent by seeing the roles of others as more important than their own in relation to AbR. There were common and context-specific barriers to optimal prescribing across the prescriber groups. Prescriber groups generally perceived restrictive policies as unhelpful to supporting appropriate prescribing in their practice. Conclusions The results have implications for implementing a One Health approach that involves doctors, dentists and veterinarians as key players to tackling the crisis of AbR. The findings are that (1) prescribers understand and are likely receptive to a One Health policy approach to AbR, (2) policy development should be sensitive to barriers that are specific to individual prescriber groups and (3) the development and introduction of interventions that might be perceived as reducing prescriber autonomy will need to be carefully designed and implemented.

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http://hdl.handle.net/10453/126143