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Sepsis and Antimicrobial Stewardship – Two Sides of the Same Coin

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journal contribution
posted on 2019-04-26, 11:18 authored by F Fitzpatrick, C Tarrant, V Hamilton, FM Kiernan, D Jenkins, E Krockow
Sepsis and antimicrobial stewardship (AMS) programmes co-exist in healthcare settings; however, there can be tension between the goals of reducing sepsis mortality, and preventing antimicrobial resistance (AMR). How these goals are perceived and prioritised by health professionals and the public is likely shaped by media framing and compounded by nonalignment of sepsis and AMS programmes in healthcare organisations. Media sepsis reports use personal stories with solutions within the power of individuals whereas AMR is framed as a vague future threat involving multiple actors, with solutions requiring global efforts and policy change. Principles from behavioural economics could help to achieve a ‘recognition of necessity’ to change prescribing approaches. Importantly sepsis and AMS cannot be discussed in isolation, but should be portrayed as two sides of the same coin: in the framing of messages in the media and public health campaigns, and the alignment of organisational sepsis and AMS programmes.

Funding

EK and CT were funded by the Global Challenges Research Fund—Grant No. ES/P004784/1 awarded by the Economic and Social Research Council (ESRC) on behalf of the Research Councils UK (RCUK).

History

Citation

BMJ Quality & Safety 2019;28:758-761.

Author affiliation

/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Health Sciences

Version

  • VoR (Version of Record)

Published in

BMJ Quality & Safety 2019;28:758-761.

Publisher

BMJ Publishing Group

issn

2044-5415

Acceptance date

2019-04-08

Copyright date

2019

Available date

2019-09-14

Publisher version

https://qualitysafety.bmj.com/content/28/9/758

Language

en

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