{"id":"https://openalex.org/W7127059316","doi":"https://doi.org/10.3389/fpubh.2026.1761960","title":"Every prescription counts: rethinking outpatient antibiotic stewardship in Abu Dhabi, United Arab Emirates","display_name":"Every prescription counts: rethinking outpatient antibiotic stewardship in Abu Dhabi, United Arab Emirates","publication_year":2026,"publication_date":"2026-02-02","ids":{"openalex":"https://openalex.org/W7127059316","doi":"https://doi.org/10.3389/fpubh.2026.1761960","pmid":"https://pubmed.ncbi.nlm.nih.gov/41705045","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12907433"},"language":"en","primary_location":{"id":"doi:10.3389/fpubh.2026.1761960","doi":"https://doi.org/10.3389/fpubh.2026.1761960","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1761960","pdf_url":"https://public-pages-files-2025.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1761960/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W7127059316"],"child_works_count":0,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://public-pages-files-2025.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1761960/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5094144109","display_name":"Kanika Vats","orcid":"https://orcid.org/0000-0001-9573-2260","observed_orcids":["https://orcid.org/0000-0001-9573-2260"]},"institutions":[{"id":"https://openalex.org/I117222138","display_name":"Abu Dhabi University","ror":"https://ror.org/01r3kjq03","country_code":"AE","type":"education","lineage":["https://openalex.org/I117222138"]}],"countries":["AE"],"is_corresponding":true,"raw_author_name":"Kanika Vats","raw_affiliation_strings":["Department of Public Health, Abu Dhabi University College of Health Sciences","Directorate of Research and Innovation, TASNEEF (Emirates Classification Society)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Public Health, Abu Dhabi University College of Health Sciences","institution_ids":["https://openalex.org/I117222138"]},{"raw_affiliation_string":"Directorate of Research and Innovation, TASNEEF (Emirates Classification Society)","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124730064","display_name":"Samar Alnasir","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Samar Alnasir","raw_affiliation_strings":["Department of Pharmacy, Medeor 24x7 Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmacy, Medeor 24x7 Hospital","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016973550","display_name":"Rahaf Ajaj","orcid":"https://orcid.org/0000-0003-3539-2879","observed_orcids":["https://orcid.org/0000-0003-3539-2879"]},"institutions":[{"id":"https://openalex.org/I117222138","display_name":"Abu Dhabi University","ror":"https://ror.org/01r3kjq03","country_code":"AE","type":"education","lineage":["https://openalex.org/I117222138"]}],"countries":["AE"],"is_corresponding":false,"raw_author_name":"Rahaf Ajaj","raw_affiliation_strings":["Department of Environmental Health and Safety, Abu Dhabi University College of Health Sciences"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Environmental Health and Safety, Abu Dhabi University College of Health Sciences","institution_ids":["https://openalex.org/I117222138"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5094144109"],"corresponding_institution_ids":["https://openalex.org/I117222138"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":7.1739,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.94615267,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":96},"biblio":{"volume":"14","issue":null,"first_page":"1761960","last_page":"1761960"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10897","display_name":"Antibiotic Use and Resistance","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10147","display_name":"Antibiotic Resistance in Bacteria","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2726","display_name":"Microbiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11080","display_name":"Surgical site infection prevention","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/antimicrobial-resistance","display_name":"antimicrobial resistance","score":0.7490000128746033},{"id":"https://openalex.org/keywords/inappropriate-antibiotic-prescribing","display_name":"inappropriate antibiotic prescribing","score":0.8330000042915344},{"id":"https://openalex.org/keywords/community-acquired-infections","display_name":"community-acquired infections","score":0.8349999785423279},{"id":"https://openalex.org/keywords/covid-19-pandemic-lessons","display_name":"COVID-19 pandemic lessons","score":0.7879999876022339},{"id":"https://openalex.org/keywords/abu-dhabi","display_name":"Abu Dhabi","score":0.718999981880188},{"id":"https://openalex.org/keywords/eastern-mediterranean-region","display_name":"Eastern Mediterranean Region","score":0.7829999923706055},{"id":"https://openalex.org/keywords/united-arab-emirates","display_name":"United Arab Emirates","score":0.6150000095367432}],"concepts":[{"id":"https://openalex.org/C2776040555","wikidata":"https://www.wikidata.org/wiki/Q19903321","display_name":"Antimicrobial stewardship","level":4,"score":0.8299999833106995},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6909000277519226},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.6274999976158142},{"id":"https://openalex.org/C94665300","wikidata":"https://www.wikidata.org/wiki/Q63391344","display_name":"Antibiotic resistance","level":3,"score":0.5827000141143799},{"id":"https://openalex.org/C2777950569","wikidata":"https://www.wikidata.org/wiki/Q17021836","display_name":"Stewardship (theology)","level":3,"score":0.5562000274658203},{"id":"https://openalex.org/C20387591","wikidata":"https://www.wikidata.org/wiki/Q930752","display_name":"Specialty","level":2,"score":0.5259000062942505},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5070000290870667},{"id":"https://openalex.org/C100406419","wikidata":"https://www.wikidata.org/wiki/Q3543802","display_name":"Formulary","level":2,"score":0.3971000015735626},{"id":"https://openalex.org/C2779457091","wikidata":"https://www.wikidata.org/wiki/Q105186","display_name":"Pharmacist","level":3,"score":0.37689998745918274},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.36959999799728394},{"id":"https://openalex.org/C98147612","wikidata":"https://www.wikidata.org/wiki/Q215599","display_name":"Promotion (chess)","level":3,"score":0.350600004196167},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.34389999508857727},{"id":"https://openalex.org/C2988170871","wikidata":"https://www.wikidata.org/wiki/Q11000047","display_name":"Healthcare system","level":3,"score":0.335999995470047},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3262999951839447},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.31369999051094055},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3125999867916107},{"id":"https://openalex.org/C124306116","wikidata":"https://www.wikidata.org/wiki/Q2512965","display_name":"Ambulatory care","level":3,"score":0.31139999628067017},{"id":"https://openalex.org/C166888038","wikidata":"https://www.wikidata.org/wiki/Q4118322","display_name":"Infection control","level":2,"score":0.31119999289512634},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.3046000003814697},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.29840001463890076},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.29409998655319214},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.29030001163482666},{"id":"https://openalex.org/C2911146124","wikidata":"https://www.wikidata.org/wiki/Q19903321","display_name":"Antibiotic Stewardship","level":4,"score":0.29019999504089355},{"id":"https://openalex.org/C61521584","wikidata":"https://www.wikidata.org/wiki/Q705899","display_name":"Accreditation","level":2,"score":0.28859999775886536},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.28610000014305115},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.2791000008583069},{"id":"https://openalex.org/C57473165","wikidata":"https://www.wikidata.org/wiki/Q7315604","display_name":"Resistance (ecology)","level":2,"score":0.26969999074935913},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.26669999957084656},{"id":"https://openalex.org/C121426985","wikidata":"https://www.wikidata.org/wiki/Q591763","display_name":"Private sector","level":2,"score":0.26089999079704285},{"id":"https://openalex.org/C3020110884","wikidata":"https://www.wikidata.org/wiki/Q695416","display_name":"Outpatient clinic","level":2,"score":0.2565999925136566},{"id":"https://openalex.org/C46578552","wikidata":"https://www.wikidata.org/wiki/Q2725393","display_name":"Global health","level":3,"score":0.25119999051094055}],"mesh":[{"descriptor_ui":"D000073602","descriptor_name":"Antimicrobial Stewardship","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010045","descriptor_name":"Outpatients","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D014479","descriptor_name":"United Arab Emirates","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":4,"locations":[{"id":"doi:10.3389/fpubh.2026.1761960","doi":"https://doi.org/10.3389/fpubh.2026.1761960","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1761960","pdf_url":"https://public-pages-files-2025.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1761960/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},{"id":"pmid:41705045","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41705045","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in public health","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12907433","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12907433/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Public Health","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:39f84a0a7eba4952a4db40b5ed529c05","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/39f84a0a7eba4952a4db40b5ed529c05","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Public Health, Vol 14 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpubh.2026.1761960","doi":"https://doi.org/10.3389/fpubh.2026.1761960","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1761960","pdf_url":"https://public-pages-files-2025.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1761960/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9763000011444092}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7127059316.pdf","grobid_xml":"https://content.openalex.org/works/W7127059316.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W1927013820","https://openalex.org/W2069454866","https://openalex.org/W2160417253","https://openalex.org/W2549623955","https://openalex.org/W2988328725","https://openalex.org/W3110927786","https://openalex.org/W3194818569","https://openalex.org/W4206677002","https://openalex.org/W4385308057","https://openalex.org/W4387462340","https://openalex.org/W4388974093","https://openalex.org/W4392347082","https://openalex.org/W4392775336","https://openalex.org/W4393203139","https://openalex.org/W4396667852","https://openalex.org/W4401973646","https://openalex.org/W4402443258","https://openalex.org/W4404406168","https://openalex.org/W4407926281","https://openalex.org/W4414440906","https://openalex.org/W4414591012"],"related_works":["https://openalex.org/W4387462340","https://openalex.org/W2038766264","https://openalex.org/W4407926281","https://openalex.org/W7122490394","https://openalex.org/W7168870619","https://openalex.org/W7219438535","https://openalex.org/W6891868567","https://openalex.org/W7127039098","https://openalex.org/W2276106561","https://openalex.org/W4411694463"],"abstract_inverted_index":{"Antimicrobial":[0],"resistance":[1,61],"(AMR)":[2],"is":[3,10,83],"a":[4,71,176,218],"persistent":[5],"global":[6],"health":[7],"challenge":[8],"that":[9],"associated":[11],"with":[12,164],"morbidity,":[13],"mortality,":[14],"and":[15,28,32,46,58,107,135,155,161,192,213,226],"healthcare":[16,137],"costs.":[17,138],"In":[18],"most":[19,91],"outpatient":[20],"(OP)":[21],"settings,":[22],"such":[23],"as":[24,90],"emergency":[25],"rooms,":[26],"primary":[27],"specialty":[29],"care":[30],"clinics,":[31,34],"dental":[33],"antibiotics":[35],"are":[36,88],"often":[37],"inaccurately":[38],"prescribed":[39],"due":[40],"to":[41,49,98,125,179,222],"patient":[42,127],"expectations,":[43],"empirical":[44],"decision-making,":[45],"limited":[47],"access":[48],"diagnostic":[50],"data.":[51],"Despite":[52],"existing":[53,151],"national":[54],"frameworks,":[55,154],"surveillance":[56,156,214],"systems,":[57],"stewardship":[59,116,166,204],"initiatives,":[60],"among":[62],"key":[63],"pathogens":[64],"in":[65,119,147,168],"the":[66,74,102,148,159,169,196],"United":[67],"Arab":[68],"Emirates":[69],"(UAE),":[70],"part":[72],"of":[73,104,111,158,171,182],"World":[75],"Health":[76],"Organization's":[77],"(WHO's)":[78],"Eastern":[79],"Mediterranean":[80],"Region":[81],"(EMR),":[82],"increasing.":[84],"Many":[85],"OP":[86,120,165,183],"settings":[87,121],"underdeveloped,":[89],"efforts":[92,205],"focus":[93],"on":[94],"hospital":[95],"inpatients,":[96],"leading":[97],"inappropriate":[99],"antibiotic":[100,184,210],"use,":[101,185],"promotion":[103],"resistant":[105],"pathogens,":[106],"an":[108,123],"increased":[109],"risk":[110],"community-acquired":[112],"infections.":[113],"Intensifying":[114],"antimicrobial":[115,224],"(AMS)":[117],"practices":[118,167],"brings":[122],"opportunity":[124],"enhance":[126],"care,":[128],"limit":[129],"unnecessary":[130],"prescriptions,":[131],"prevent":[132],"adverse":[133],"reactions,":[134],"reduce":[136],"This":[139],"perspective":[140],"provides":[141],"insights":[142],"into":[143],"regional":[144,188],"AMR":[145],"trends":[146],"EMR,":[149],"reviews":[150],"governance,":[152],"regulatory":[153],"systems":[157],"UAE,":[160],"identifies":[162],"gaps":[163],"Emirate":[170],"Abu":[172],"Dhabi.":[173],"It":[174],"recommends":[175],"multi-level":[177],"framework":[178],"support":[180],"optimisation":[181],"guided":[186],"by":[187],"trends,":[189],"current":[190,203],"practice,":[191],"lessons":[193],"learnt":[194],"from":[195],"COVID-19":[197],"pandemic.":[198],"By":[199],"adopting":[200],"this":[201],"framework,":[202],"can":[206],"be":[207],"strengthened,":[208],"responsible":[209],"use":[211],"promoted,":[212],"improved,":[215],"progressing":[216],"towards":[217],"coordinated,":[219],"multi-sector":[220],"strategy":[221],"preserve":[223],"efficacy":[225],"sustain":[227],"long-term":[228],"progress":[229],"against":[230],"resistance.":[231]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-02-03T00:00:00"}