Evidence map›Paper›PMID 29602857›Full record

ArticleBMJ open2018

Opportunities and challenges to improving antibiotic prescribing practices through a One Health approach: results of a comparative survey of doctors, dentists and veterinarians in Australia.

Annie Zhuo, Maurizio Labbate, Jacqueline M Norris, Gwendolyn L Gilbert, Michael P Ward, Beata V Bajorek, Chris Degeling, Samantha J Rowbotham, Angus Dawson, Ky-Anh Nguyen and 6 more

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In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Review
  4. Stewardship of Antibiotics Prescribing in Belgian Dental Practice: A National Survey.International journal of environmental research and public health · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Annie ZhuoSchool of Geosciences, The University of Sydney, Sydney, NSW, Australia.
Maurizio Labbate *School of Life Sciences, University of Technology Sydney, Sydney, New South Wales, Australia.
Jacqueline M NorrisSydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, Australia.
Gwendolyn L GilbertMarie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Sydney, New South Wales, Australia.
Michael P WardSydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, Australia.
Beata V BajorekGraduate School of Health, University of Technology Sydney, Sydney, New South Wales, Australia.
Chris DegelingFaculty of Social Science, University of Wollongong, Wollongong, NSW, Australia.
Samantha J RowbothamMenzies Centre for Health Policy, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
Angus DawsonSydney Health Ethics, University of Sydney, Sydney, New South Wales, Australia.
Ky-Anh NguyenFaculty of Dentistry, University of Sydney, Sydney, New South Wales, Australia.
Grant A Hill-CawthorneMarie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Sydney, New South Wales, Australia.
Tania C SorrellMarie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Sydney, New South Wales, Australia.
Merran GovendirSydney School of Veterinary Science, University of Sydney, Sydney, New South Wales, Australia.
Alison M KessonMarie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Sydney, New South Wales, Australia.
Jonathan R IredellMarie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Sydney, New South Wales, Australia.
Dale Dominey-Howes *School of Geosciences, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0003-2677-2837

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore and compare the knowledge, attitudes and experiences of doctors, dentists and veterinarians (as prescribers) in relation to antibiotic use and antibiotic resistance (AbR), and to consider the implications of these for policy-making that support a One Health approach.

designA cross-sectional survey conducted online.

settingDoctors, dentists and veterinarians practising in primary, secondary or tertiary care in Australia.

participants547 doctors, 380 dentists and 403 veterinarians completed the survey.

main outcome measuresPrescribers' knowledge, attitudes and perceptions of AbR, the extent to which a range of factors are perceived as barriers to appropriate prescribing practices, and perceived helpfulness of potential strategies to improve antibiotic prescribing in practice.

resultsThere was substantial agreement across prescriber groups that action on AbR is required by multiple sectors and stakeholders. However, prescribers externalised responsibility to some extent by seeing the roles of others as more important than their own in relation to AbR. There were common and context-specific barriers to optimal prescribing across the prescriber groups. Prescriber groups generally perceived restrictive policies as unhelpful to supporting appropriate prescribing in their practice.

conclusionsThe results have implications for implementing a One Health approach that involves doctors, dentists and veterinarians as key players to tackling the crisis of AbR. The findings are that (1) prescribers understand and are likely receptive to a One Health policy approach to AbR, (2) policy development should be sensitive to barriers that are specific to individual prescriber groups and (3) the development and introduction of interventions that might be perceived as reducing prescriber autonomy will need to be carefully designed and implemented.

Indexed as

Anti-Bacterial AgentsDentistsOne HealthPhysiciansPractice Patterns, Physicians'VeterinariansAdultAustraliaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAnti-Bacterial Agentsantibiotic resistancehealth policymicrobiology

Identifiers

PMID29602857
PMCPMC5884343

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.