Original Source

Social Dilemma in the Excess Use of Antimicrobials Incurring Antimicrobial Resistance

Scientific Reports

Volume: 12: 21084

06 DEC 2022

Ito, H., Wada, T., Ichinose, G., Tanimoto, J., Yoshimura, J., Yamamoto, T., et. al.

Yes

From the source: "Japan Society for the Promotion of Science Grant 22H01713 (GI, HI). Japan Society for the Promotion of Science Grant 21H01575 (HI, TW, TY, SM). Japan Society for the Promotion of Science Grant 21K03387 (SM, HI). Japan Society for the Promotion of Science Grant 19KK0262 (JT, GI, HI). Japan Society for the Promotion of Science Grant 19K04903 (GI, HI). Japan Society for the Promotion of Science Grant 18K03453 (SM, JY, HI). Japan Society for the Promotion of Science Grant 17H04731 (HI)."

From the source: "The authors declare no competing interests."

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Summary

This study carried out an evaluation of antibiotics resistance awareness, with a focus on the social dilemma that accompanies implementation of control measures. This social dilemma is the conflicting interest of making use of antimicrobials for self help, leading to overuse, and the negative impact this individual use has on public health, particularly by worsening general antimicrobial resistance. The study was carried out across eight countries. The result showed only about 20% of the surveyed population were aware of this dilemma. Almost 30% had a positive attitude towards solving the problem. A strength of this study is its unique approach at evaluating the social dilemma at the individual and general public level. However, as noted by the authors, the use of imaginary artificial intelligence (AI) physicians to observe the social dilemma may have affected the data given the varying perceptions of AI in different countries. in its data gathering may call the nature of its data to question.

The emergence of antimicrobial resistance (AMR) caused by the excess use of antimicrobials has come to be recognized as a global threat to public health. There is a ‘tragedy of the commons’ type social dilemma behind this excess use of antimicrobials, which should be recognized by all stakeholders. To address this global threat, we thus surveyed eight countries/areas to determine whether people recognize this dilemma and showed that although more than half of the population pays little, if any, attention to it, almost 20% recognize this social dilemma, and 15–30% of those have a positive attitude toward solving that dilemma. We suspect that increasing individual awareness of this social dilemma contributes to decreasing the frequency of AMR emergencies.