title: The role of behavior change in antimicrobial stewardship.
abstract: Emerging evidence suggests that antimicrobial prescribing behaviors are influenced by local culture and a prescribing etiquette that is abided by all health care professionals. Local cultural unspoken rules often play a more pivotal role than the recommendations of guidelines and policies drawn up by experts in influencing antimicrobial prescribing. It is important to recognize the key drivers of prescribing behaviors and the incentives to alter behaviors and to incorporate these into stewardship programs. This review summarizes key concepts in behavior change in antimicrobial prescribing and the gaps that exist in addressing behavior change in this field.
authors.affiliation: The National Centre for Infection Prevention and Management, Imperial College London, Hammersmith Campus, Du Cane Road, London W12 ONN, UK. Electronic address: e.charani@imperial.ac.uk.
authors.forename: Esmita
authors.initials: E
authors.lastname: Charani
authors.affiliation: The National Centre for Infection Prevention and Management, Imperial College London, Hammersmith Campus, Du Cane Road, London W12 ONN, UK.
authors.forename: Enrique
authors.initials: E
authors.lastname: Castro-Sánchez
authors.affiliation: The National Centre for Infection Prevention and Management, Imperial College London, Hammersmith Campus, Du Cane Road, London W12 ONN, UK.
authors.forename: Alison
authors.initials: A
authors.lastname: Holmes
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000188:drug therapy*; D003469:Culture; D011307:Drug Prescriptions / Q000592:standards*; D004352:Drug Resistance, Microbial; D004363:Drug Utilization / Q000592:standards*; D019983:Guideline Adherence / Q000592:standards; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010818:Practice Patterns, Physicians'
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antimicrobial stewardship; Behavior change; Interventions; Prescribing behavior