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识别并优先处理减缓抗菌药物耐药性的行为。

Identifying and Prioritising Behaviours to Slow Antimicrobial Resistance.

作者信息

Tull Fraser, Bamert Rebecca S, Smith Liam, Goodwin Denise, Lambert Karen

机构信息

BehaviourWorks Australia, Monash Sustainable Development Institute, Monash University, Melbourne 3170, Australia.

Centre to Impact AMR, Monash University, Melbourne 3170, Australia.

出版信息

Antibiotics (Basel). 2023 May 23;12(6):949. doi: 10.3390/antibiotics12060949.

Abstract

As a nation with relatively low levels of AMR, due to both community and agricultural stewardship, as well as geographical isolation, Australia is somewhat unique. As this advantage is being eroded, this project aimed to investigate the spectrum of human behaviours that could be modified in order to slow the spread of AMR, building upon the argument that doable actions are the best-targeted and least complex to change. We conducted a workshop with a panel of diverse interdisciplinary AMR experts (from sociology, microbiology, agriculture, veterinary medicine, health and government) and identified twelve behaviours that, if undertaken by the public, would slow the spread of AMR. These were then assessed by a representative sample of the public (285 Australians) for current participation, likelihood of future participation (likelihood) and perceived benefits that could occur if undertaken (perceived impact). An impact-likelihood matrix was used to identify four priority behaviours: do not pressure your doctor for antibiotics; contact council to find out where you can safely dispose of cleaning products with antimicrobial marketing; lobby supermarkets to only sell antibiotic free meat products; and return unused antibiotics to a pharmacy. Among a multitude of behavioural options, this study also highlights the importance of tailoring doable actions to local conditions, increasing community education, and emphasizing the lack of a one-size fits all approach to tackling this global threat.

摘要

作为一个抗菌药物耐药性(AMR)水平相对较低的国家,由于社区和农业管理以及地理隔离等因素,澳大利亚具有一定的独特性。随着这一优势逐渐受到侵蚀,本项目旨在研究一系列可以改变的人类行为,以减缓AMR的传播,并基于可行的行动是最具针对性且最容易改变这一观点展开。我们与一个由不同学科的AMR专家组成的小组(来自社会学、微生物学、农业、兽医学、卫生和政府部门)举办了一次研讨会,确定了十二种行为,如果公众采取这些行为,将减缓AMR的传播。然后,由公众的代表性样本(285名澳大利亚人)对这些行为进行评估,以了解当前的参与情况、未来参与的可能性(可能性)以及如果采取这些行为可能产生的感知益处(感知影响)。使用影响-可能性矩阵确定了四种优先行为:不要向医生施压索要抗生素;联系市政当局,了解在哪里可以安全处置带有抗菌标识的清洁产品;游说超市只销售无抗生素的肉类产品;以及将未使用的抗生素退回药房。在众多行为选项中,本研究还强调了根据当地情况调整可行行动、加强社区教育以及强调应对这一全球威胁不存在一刀切方法的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f99/10294905/007d6baf4aac/antibiotics-12-00949-g001.jpg

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