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“Antibiotic and Bacteria Card” (reference guideline)

Objective(s)
1. Promote rational antibiotic use.
2. Improve empirical antibiotic prescribing by providing rapid visual reference on bacterial sensitivity.
3. Ensure correct oral antibiotic administration to avoid reduced efficacy.
4. Support antibiotic stewardship efforts to combat resistance.
Target audience
Nurses
Healthcare professionals
Pharmacists
Infectious disease specialists
Medical students
Campaign Scope
Regional
Communication Channels Used
Printed materials
websites/blogs
Digital access via QR code
Institutional distribution
Campaign Material(s)
“Antibiotic and Bacteria Card”
QR code
“Preparation Card”
Key messages
Potentially:
1. Choose antibiotics wisely: Based on likely pathogen and local resistance patterns.
2. Follow proper administration rules: Timing, food interactions, full tablet swallowing.
3. Antibiotic resistance is real: Inappropriate use accelerates resistance.
4. Not all bacteria must be treated: Reinforces cautious prescribing.
Campaign Focus
Human health
Campaign Setting
Clinical
Hospital
Primary care clinics
Pharmacies
Nursing homes
Use of Scientific Evidence
Implicit Evidence-Based Messaging
Visual and Symbolic Elements
Use of colors
Icongraphy
Symbols
Educational model applied
Transmissive
Participatory
Content Complexity Level
Specialized
Content accessibility
No
Diversity and Inclusion
No
Involvement of Vulnerable Groups
No
Cultural Sensitivity and Contextualization
Yes
Replicability
Yes
Content usage license
Free
Campaign Status
Active
Community participation in evaluation
Yes
Identified gaps
No scientific evidence or references, unclear if evidence-based
Credibility assumed due to source, no references
Accessible formats for hearing impaired users not provided
Accessible formats for visually impaired users not provided
No adaptation for different age groups
Frequently Asked Questions (FAQs) section not included
Campaign timeline information incomplete or missing
Interactive features not included
Feedback or audience involvement not visible
Reporting on results or impact not found
Outreach activities not documented
Identified gaps
1. No patient-facing version: Language, formatting, and jargon exclude patients.
2. Static format: Little adaptability to emerging resistance or updated guidelines.
3. No digital interactivity beyond QR link.
4. No inclusion of pediatric dosing or special populations.
Lessons learned
Multilingual materials may reach more diverse communities.
Tailoring content to specific groups (e.g., parents, seniors, teens) may enhance impact.
Partnering with schools, municipalities, and local groups may enhance credibility and distribution.
Lessons learned
1. Simplicity may drive adoption: Short-form, digestible clinical tools are more likely to be used.
2. Visual design matters in busy clinical workflows.
3. Antibiotic stewardship campaigns benefit from layered materials: quick guides + digital access + full protocols.
4. Future educational interventions should consider integrating: Case-based scenarios. Interactive or mobile formats. Behavioral nudges (e.g., reminders, audit feedback). Multi-level communication (clinician + patient).
Identified biases
Digital Access Bias
Digital Literacy Bias
Disability Accessibility Bias
Educational Bias
Evaluation Absence Bias
Involvement Bias
Scientific Basis Bias
Vulnerable Groups Bias
Identified biases
1. Sweden-specific bacterial ecology and resistance patterns may not be generalizable elsewhere.
2. Focus on common bacteria and antibiotics leaves rare or emerging threats underrepresented.
3. Promotes biomedical compliance without socio-cultural context or behavior change support.



Identified Weaknesses
Limited feedback loop
Limited accessibility
Limited reach / Single channel
Identified Weaknesses
1. Doesn’t explain rationale behind guidance — only what to do.
2. Lacks multilingual or inclusive formats (e.g., plain language or other health literacy levels).
3. Not adaptive: Printed format limits scalability or responsiveness to real-time data.
4. No tools for reinforcing learning — static educational intervention.
Identified Strengths
Dedicated website or online portal
Easy to locate materials
Identified Strengths
1. Highly usable at point of care.
2. Visually intuitive: Color codes and layout help quick interpretation.
3. As it is a material coming from Strama we can consider scientifically accurate and regionally tailored.
4. Low-cost and reproducible.
5. Alignment with broader Strama antibiotic stewardship programs.