Antimicrobial stewardship in low- and middle-income countries: Access versus adherence

Kiarah Shchepanik, Anthony D Bai and Heather Wise

PLOS Medicine, 2026, vol. 23, issue 8, 1-4

Abstract: Can improving access to antimicrobial guidelines improve prescriber adherence? In a recent study published in PLOS Medicine (the LAMPA trial), a smartphone app did not improve adherence despite enhanced access to guidelines, highlighting that prescriber behavior is complex, and effective antimicrobial stewardship interventions need to be multifaceted and sustained.This Perspective by Kiarah Shchepanik and colleagues discusses results from the recent LAMPA trial, in which a smartphone app did not improve adherence to antimicrobial prescriber guidelines despite enhanced access, and outline why multifaceted and sustained interventions are needed due to complex prescriber behavior.

Date: 2026
References: Add references at CitEc
Citations:

Downloads: (external link)
https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1005218 (text/html)
https://journals.plos.org/plosmedicine/article/fil ... 05218&type=printable (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:plo:pmed00:1005218

DOI: 10.1371/journal.pmed.1005218

Access Statistics for this article

More articles in PLOS Medicine from Public Library of Science
Bibliographic data for series maintained by plosmedicine ().