Can Implementation Science Help to Overcome Challenges in Translating Judicious Antibiotic Use Into Practice?

Nudging Guideline-Concordant Antibiotic Prescribing

“…40 Thus, investigation of novel approaches is warranted 41 as part of a larger strategy to better understand and favorably influence clinician behavior. 42,43 …”

Shifting the Paradigm for Promoting Appropriate Antibiotic Use

“…reduced patient side effects and decreases in antibiotic resistance levels), lack of organizational/stakeholder readiness for change, and the low compatibility with existing values and social norms of clinical staff and patients. [11][12][13] It is increasingly clear that the success of diagnostic algorithms, educational programs, and decision support tools will depend on the local context. The need for local tailoring of interventions targeting antibiotic overuse creates fundamental challenges to our traditional scientific approach, testing standardized interventions across multiple sites to define a common (or average) effect size.…”

Faringotonsilite estreptocócica: necessidade do uso de testes microbiológicos para diagnóstico preciso

“…When commenting the current indiscriminate use of antibiotics, Gonzáles et al (10) suggest that this is the result of a failure in putting evidence into practice. In the case of streptococcal pharyngotonsillitis, evidence from both outside Brazil and in our setting (5,6) seems to indicate the need of using microbiological tests to achieve a more precise diagnosis.…”