Measuring Antimicrobial Prescribing Quality and Driving Behavioral Change: A Call to Action Against Antimicrobial Resistance

Authors

  • Carlos Palos NOVA National School of Public Health. Public Health Research Centre. Comprehensive Health Research Center. Universidade NOVA de Lisboa. Lisbon. & Infection Control and Antimicrobial Resistance Prevention Unit. Unidade Local de Saúde Santa Maria. Lisbon. https://orcid.org/0000-0002-9375-4623
  • Paulo Sousa NOVA National School of Public Health. Public Health Research Centre. Comprehensive Health Research Center. Universidade NOVA de Lisboa. Lisbon. https://orcid.org/0000-0001-9502-6075
  • José-Artur Paiva Intensive Care Department. Unidade Local de Saúde São João. Porto. & Faculty of Medicine. Universidade do Porto. Porto. https://orcid.org/0000-0003-4323-0220

DOI:

https://doi.org/10.20344/amp.24396

Keywords:

Anti-Bacterial Agents, Antimicrobial Stewardship, Drug Prescriptions, Drug Resistance, Bacterial

Abstract

n/a.

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References

Organisation for Economic Co-operation and Development. Stemming the superbug tide: just a few dollars more. 2018. [cited 2025 Apr 05]. Available from: https://www.oecd.org/content/dam/oecd/en/publications/reports/2018/11/stemming-the-superbug-tide_g1g98de5/9789264307599-en.pdf.

European Centre for Disease Prevention and Control. AMC Dashboard (ESAC-Net) — EU/EEA antimicrobial consumption data. [cited 2025 Dec 05]. Available at: https://qap.ecdc.europa.eu/public/extensions/AMC2_Dashboard/AMC2_Dashboard.html#eu-consumption-tab.

Borg MA, Camilleri L. Broad-spectrum antibiotic use in Europe: more evidence of cultural influences on prescribing behaviour. J Antimicrob Chemother. 2019;74:3379-83. DOI: https://doi.org/10.1093/jac/dkz312

Silva AC, Nogueira PJ, Paiva JA. Determinants of antimicrobial resistance among the different European countries: more than human and animal antimicrobial consumption. Antibiotics. 2021;10:834. DOI: https://doi.org/10.3390/antibiotics10070834

Mahase E. Antimicrobial resistance: private providers are reversing progress by dispensing more drugs, top adviser warns. BMJ. 2025;391:r2451. DOI: https://doi.org/10.1136/bmj.r2451

DePestel DD, Eiland EH 3rd, Lusardi K, Destache CJ, Mercier RC, McDanel PM, et al. Assessing appropriateness of antimicrobial therapy: in the eye of the interpreter. Clin Infect Dis. 2014;59:S154-61. DOI: https://doi.org/10.1093/cid/ciu548

James R, Nakamachi Y, Morris A, So M, Ponnampalavanar SS, Chuki P, et al. The feasibility and generalizability of assessing the appropriateness of antimicrobial prescribing in hospitals: a review of the Australian National Antimicrobial Prescribing Survey. JAC Antimicrob Resist. 2022;4:dlac012. DOI: https://doi.org/10.1093/jacamr/dlac012

Palos C, Ierano C, Santos MJ, Leitão I, Nogueira P, James R, et al. Cultivating global antimicrobial stewardship: linguistic and cultural validation of the Australian National Antimicrobial Prescribing Survey appropriateness assessment definitions for Portugal. J Antimicrob Chemother. 2024;79:2281-91. DOI: https://doi.org/10.1093/jac/dkae226

Palos C, Ierano C, James R, Paiva JA, Thursky K, Sousa P, et al. Cultivating global antimicrobial stewardship: prescribing quality and implementability insights from Portugal’s First Hospital National Antimicrobial Prescribing Survey. Antimicrob Resist Infect Control. 2026;15:11. DOI: https://doi.org/10.1186/s13756-025-01681-9

Global-PPS. About drive-AMS. Global-PPS. [cited 2025 Dec 05]. Available from: https://www.global-pps.com/about-ams/.

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Published

2026-04-22

How to Cite

1.
Palos C, Sousa P, Paiva J-A. Measuring Antimicrobial Prescribing Quality and Driving Behavioral Change: A Call to Action Against Antimicrobial Resistance. Acta Med Port [Internet]. 2026 Apr. 22 [cited 2026 Jun. 4];39(6-7):379-82. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/24396

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Perspective