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<p>The analogy between antibiotic resistance and climate change is an apt one in the sense that both require a local and a global response. Flagrant antibiotic prescribing in outpatient settings, for example can certainly undermine a judicious hospital response in the grand scheme of things. Similarly, what good is it if one country fights to save fading antibiotic efficacy but another nation passes out pills like candy. More on that later, but first the outpatient problem.</p>

Hospitals moving on antibiotic stewardship, but outpatient settings have a more difficult task

And then there’s China, where unneeded antibiotics are counted in billions