Accounting for variation in and overuse of antibiotics among humans

Martin J. Blaser, Melissa K. Melby, Margaret Lock, Mark Nichter

Research output: Contribution to journalArticlepeer-review

Abstract

Worldwide, antibiotic use is increasing, but many infections against which antibiotics are applied are not even caused by bacteria. Over-the-counter and internet sales preclude physician oversight. Regional differences, between and within countries highlight many potential factors influencing antibiotic use. Taking a systems perspective that considers pharmaceutical commodity chains, we examine antibiotic overuse from the vantage point of both sides of the therapeutic relationship. We examine patterns and expectations of practitioners and patients, institutional policies and pressures, the business strategies of pharmaceutical companies and distributors, and cultural drivers of variation. Solutions to improve antibiotic stewardship include practitioners taking greater responsibility for their antibiotic prescribing, increasing the role of caregivers as diagnosticians rather than medicine providers, improving their communication to patients about antibiotic treatment consequences, lessening the economic influences on prescribing, and identifying antibiotic alternatives.

Original languageEnglish (US)
Article number2000163
JournalBioEssays
Volume43
Issue number2
DOIs
StatePublished - Feb 2021

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

Fingerprint Dive into the research topics of 'Accounting for variation in and overuse of antibiotics among humans'. Together they form a unique fingerprint.

Cite this