Social dilemma in the excess use of antimicrobials incurring antimicrobial resistance

Area of Science:

• Public Health
• Behavioral Economics
• Microbiology

Background:

• Antimicrobial resistance (AMR) poses a significant global public health threat.
• Excessive antimicrobial use, driven by a 'tragedy of the commons' social dilemma, exacerbates AMR.
• Understanding public perception of this dilemma is crucial for developing effective interventions.

Purpose of the Study:

• To assess public recognition of the social dilemma underlying antimicrobial overuse.
• To gauge attitudes towards solving this dilemma across different populations.
• To explore the potential link between awareness and reduction of AMR emergencies.

Main Methods:

• Survey conducted across eight countries/regions.
• Assessed public awareness and attitudes regarding the social dilemma of antimicrobial use.
• Analyzed the relationship between awareness, attitudes, and potential impact on AMR.

Main Results:

• Over half the surveyed population showed little awareness of the social dilemma.
• Approximately 20% of respondents recognized the social dilemma.
• 15-30% of those aware expressed a positive attitude towards solutions.

Conclusions:

• Public awareness of the social dilemma driving antimicrobial overuse is limited.
• A notable minority recognizes the issue and is open to solutions.
• Increasing awareness may be a viable strategy to mitigate antimicrobial resistance emergencies.