{
  "abstract": "As antimicrobial resistance continues to challenge health systems worldwide, improving access to evidence-based prescribing guidance is a key component of antimicrobial stewardship, particularly in low- and middle-income countries. In this stepped-wedge cluster randomized controlled trial conducted between 2021 and 2022, Vilada Chansamouth and colleagues assessed whether delivering Laos’ 2021 national antimicrobial prescribing guidelines through a smartphone application, alongside stewardship training, influenced prescribing adherence compared with paper-based guidelines. Across six hospitals, adjusted analyses found no significant difference in adherence between the two delivery methods. The findings indicate that smartphone technology can broaden access to prescribing guidance, while underscoring that guideline adherence is shaped by multiple factors beyond availability alone.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "Issue Image",
  "arxiv": null,
  "author_total": 0,
  "authors": [],
  "bibtex": "https://research.draconitic.com/paper/7cgfe9sc34t6y.bib",
  "cited_by": 0,
  "doi": "10.1371/image.pmed.v23.i08",
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  "id": "7cgfe9sc34t6y",
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  "landing_url": "https://doi.org/10.1371/image.pmed.v23.i08",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "plos",
      "/Biology and life sciences/Microbiology/Microbial control/Antimicrobial resistance"
    ],
    [
      "plos",
      "/Biology and life sciences/Microbiology/Microbial control/Antimicrobials"
    ],
    [
      "plos",
      "/Engineering and technology/Equipment/Communication equipment/Cell phones"
    ],
    [
      "plos",
      "/Medicine and health sciences/Clinical medicine/Clinical trials/Randomized controlled trials"
    ],
    [
      "plos",
      "/Medicine and health sciences/Pharmacology/Antimicrobial resistance"
    ],
    [
      "plos",
      "/Medicine and health sciences/Pharmacology/Drug research and development/Clinical trials/Randomized controlled trials"
    ],
    [
      "plos",
      "/Medicine and health sciences/Pharmacology/Drug research and development/Drug licensing"
    ],
    [
      "plos",
      "/Medicine and health sciences/Pharmacology/Drugs/Antimicrobials"
    ],
    [
      "plos",
      "/Medicine and health sciences/Public and occupational health/Global health"
    ],
    [
      "plos",
      "/Research and analysis methods/Clinical trials/Randomized controlled trials"
    ]
  ],
  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-15",
  "publisher": "Public Library of Science",
  "ris": "https://research.draconitic.com/paper/7cgfe9sc34t6y.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:50Z",
      "native_id": "10.1371/image.pmed.v23.i08",
      "source": "plos",
      "url": "https://doi.org/10.1371/image.pmed.v23.i08"
    }
  ],
  "subjects": [
    {
      "field": "biology",
      "origin": "plos:microbiology",
      "subfield": "microbiology"
    },
    {
      "field": "medicine",
      "origin": "plos:clinical trials",
      "subfield": "clinical-trials"
    },
    {
      "field": "medicine",
      "origin": "plos:pharmacology",
      "subfield": "pharmacology-toxicology"
    }
  ],
  "title": "PLoS Medicine Issue Image | Vol. 23(8) September 2026",
  "title_text": "PLoS Medicine Issue Image | Vol. 23(8) September 2026",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:50Z",
  "url": "https://research.draconitic.com/paper/7cgfe9sc34t6y",
  "venue": "PLoS Medicine",
  "versions": []
}