Not in my backyard: a systematic review of clinicians' knowledge and beliefs about antibiotic resistance

Abstract

Clinicians believe antibiotic resistance is a serious problem, but think it is caused by others. This needs to be accommodated in interventions to reduce antibiotic resistance.

Understanding the culture of antimicrobial prescribing in agriculture: a qualitative study of UK pig veterinary surgeons

“…A review of the human literature revealed a widespread awareness by physicians of the issue of antimicrobial resistance in human medicine. 42 However, in parallel with findings in this study, this concern was often accompanied by a belief that the responsibility for the generation of such resistance lies with other professionals and in other medical establishments. 19,43 …”

“…45,46 The predominant opinion amongst participants was that this was a sporadic event and that any threat was minimal. Whilst opinions from human prescribers have implicated the overuse of antimicrobials in livestock in human resistance profiles, 42 it seems veterinary opinion is divided. 16,17,47 However, there was a shared opinion amongst the study population that antimicrobial resistance in human medicine was mainly driven by use in humans, an opinion echoed in the literature.…”

GPs' perceptions of AMR and antimicrobial stewardship

“…10 They also noted that social cognitive theory also explains why clinicians experience a conflict between minimising AMR and avoiding clinical deterioration in their patients when prescribing antibiotics: AMR is a distant and physically removed consequence of antibiotic prescribing, whereas patient distress and clinical deterioration are proximal and confronting consequences. Two-thirds of our GPs viewed patients as still being too demanding of antibiotics.…”

Undergraduate antibiotic stewardship training: Are we leaving our future prescribers ‘flapping in the wind’?

“…However, the view of 'not in my backyard' , [3] which suggests that others overprescribe antibiotics and drive resistance, may contribute to inappropriate prescribing behaviours. [4,5] The underlying cognitive bias for the students' contradictory views need to be explored and may represent yet another enabler to affect behaviour.…”