Antibiotic prescribing is a social process subject to cultural and contextual determinants. The drivers and determinants for infection management and antibiotic prescribing vary across specialties. Recent research conducted across different healthcare economies using multimodal approaches has highlighted the contextual factors that differentiate between antibiotic decision making across medical and surgical prescribing. An understanding of these differences is key to developing contextually fit and sustainable antibiotic interventions. This includes identifying the key stakeholders in decision-making and including the wider healthcare workforce in stewardship programmes.

This presentation will cover:
- Understanding role of culture, context and team dynamics on antimicrobial stewardship programmes
- Learning from antimicrobial stewardship across different healthcare economies with case studies from India, Bangladesh, South Africa and England
- Get insight into current research tackling antimicrobial resistance across the surgical pathway

Dr Esmita Charani, NIHR HPRU in Healthcare Associated Infections and Antimicrobial Resistance