# Stakeholder perspectives on a hypothetical rapid test for antibiotic resistant bacteria: an exploratory study

## TL;DR

This study explores stakeholder views on a hypothetical rapid test for antibiotic resistance, focusing on ethical, practical, and social implications.

## Contribution

The novelty lies in examining stakeholder perspectives, including potential users, medical providers, and ethicists, on a home-use rapid antibiotic resistance test.

## Key findings

- Potential users showed general acceptance of home diagnostic tests, but not specifically for antibiotic resistance.
- Medical providers and ethicists highlighted concerns about home testing for antibiotic resistance, including risks of misuse and overuse.
- The study identifies areas needing further research and ethical consideration for such diagnostic tools.

## Abstract

Antibiotic resistance remains a significant public health concern. One possible solution is to develop a new type of highly accessible test for antibiotic resistance that can be rapidly and easily utilized. As new diagnostics for measuring antibiotic resistance continue to be developed, several key practical, ethical, and social factors must be considered, including the types of tests that might be useful, their potential beneficiaries, and the contexts in which they should be utilized. This study aims to gather insights from key stakeholders regarding the ethical implications, benefits, and potential risks associated with a hypothetical rapid antibiotic resistance test that may also be designed for home use. A total of 32 semi-structured interviews were conducted with three stakeholder groups: potential users, medical providers, and ethicists. While prospective users of the test were generally positive about the proposed test, this might reflect public acceptance of point of care/home tests in general, rather than one specifically measuring ABR. Medical providers and experts knowledgeable about the problems of antibiotic overuse quickly pointed out some drawbacks and areas of concern for home testing for ABR, offering helpful guidance on where further research and consideration are needed.