A local public campaign reduces outpatient antibiotic prescribing in Italy
- Institute of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, UK
- Correspondence to Nick Francis, Institute of Primary Care and Public Health, School of Medicine, Cardiff University, 5th Floor, Neuadd Meirionnydd, Heath Park, Cardiff, CF14 4YS, UK;
Implications for practice and research
Public health campaigns can reduce antibiotic prescribing, although the effect is likely to be mediated primarily through changes in clinician behaviour rather than patient-consulting behaviour or expectations for antibiotics.
More research is needed on the key components of antimicrobial stewardship activities: the effects on antimicrobial resistance, the cost-effectiveness and the sustainability of effect.
Antimicrobial resistance (AMR) is an important and growing international health threat.1 Exposure to antibiotics is the primary driver of AMR; therefore, efforts to tackle this problem commonly focus on reducing unnecessary prescribing. Most antibiotic prescribing occurs in primary care, and the majority of prescribing is for respiratory tract …