Factors influencing clinician’s antibiotic prescribing behaviors (apb) in Bangladesh: an in–depth review using comb model

Over the last decade, there are poly-pharmacy practices and extensive uses of antibiotics have become a commonplace in Bangladesh [1]. Overprescribing and unnecessary prescribing of antibiotics is a threatening problem in Bangladesh and worldwide [2]. The inappropriate use of antibiotics and development of antibiotic resistance (AR) are closely linked [3,4]. The annual death toll for AR is 700,000 globally [5]. Nowadays, AR is, therefore, a current global threat to public health. Therefore, promoting appropriate use of antibiotics is an emerging issue for patient safety and public health with national priority [6]. In 2014, Lundborg & Tamhanker [7,8] stated that human behavior is vigorously involved using antibiotics and developing antibiotic resistance. There are many decisions, which are taken prior to antibiotic prescription, dispensing, consumption or discarding influence subsequent human behavior. Individual involved might be a physician, health care provider, a veterinarian, an animal provider, a consumer, or a parent. The engagement of a human behavior is also observed in the non-human use of antibiotics in animal husbandry, industries, and agriculture.