Setting the standard

Multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy

Dados Bibliográficos

ID21880444
AutoresClaas Kirchhelle (0000-0003-0910-8133, University College Dublin), Paul Atkinson (0000-0001-8740-6561, University of Liverpool), Alex Broom (0000-0003-1258-1140, The University of Sydney), Komatra Chuengsatiansup (0000-0002-2673-6935, Sirindhorn College of Public Health), Jorge Pinto Ferreira (0000-0002-6281-075X, Organisation Mondiale de la Santé Animale), Nicolas Fortané (0000-0001-6479-5808, Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement), Isabel Frost (0000-0002-0095-0845, Center for Disease Dynamics, Economics & Policy), Christoph Gradmann (0000-0003-4835-7394, University of Oslo), Stephen Hinchliffe (University of Exeter), Steven J Hoffman (0000-0002-2064-3711, York University), Javier Lezaun (0000-0002-5483-3628, University of Oxford), Susan Nayiga (0000-0002-1895-4035, Infectious Diseases Research Collaboration), Kevin Outterson (0000-0003-2513-3216, Boston University), Scott H Podolsky (0000-0002-9317-1145, Harvard University), Stephanie Raymond (0000-0001-8195-0363, The University of Sydney), Adam P Roberts (0000-0002-0760-3088, Liverpool School of Tropical Medicine), Andrew C Singer (0000-0003-4705-6063, UK Centre for Ecology & Hydrology), Anthony D So (0000-0001-8908-7250, Johns Hopkins University), Luechai Sri-Ngernyuang (0000-0003-3194-076X, Mahidol University), Luechai Sringernyuang (Mahidol University), Elizabeth Tayler (0000-0001-7533-613X, World Health Organization), Susan Rogers Van Katwyk (0000-0002-1758-8635, York University), Clare Chandler (0000-0001-6499-7522, London School of Hygiene & Tropical Medicine, autor correspondente)
Ano2020
Volume5
Fascículo9
Páginase003091
Data de publicação2020-09-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoBMJ Global Health (JOURNAL)
Identificadores do periódicoISSN: 2059-7908 • E-ISSN: 2059-7908
EditoraBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-003091
PMID32967980
OpenAlexW3088694282
IdiomaEN
Citações recebidas28
Referências citadas93

There is increasing concern globally about the enormity of the threats posed by antimicrobial resistance (AMR) to human, animal, plant and environmental health. A proliferation of international, national and institutional reports on the problems posed by AMR and the need for antibiotic stewardship have galvanised attention on the global stage. However, the AMR community increasingly laments a lack of action, often identified as an ‘implementation gap’. At a policy level, the design of internationally salient solutions that are able to address AMR’s interconnected biological and social (historical, political, economic and cultural) dimensions is not straightforward. This multidisciplinary paper responds by asking two basic questions: (A) Is a universal approach to AMR policy and antibiotic stewardship possible? (B) If yes, what hallmarks characterise ‘good’ antibiotic policy? Our multistage analysis revealed four central challenges facing current international antibiotic policy: metrics, prioritisation, implementation and inequality. In response to this diagnosis, we propose three hallmarks that can support robust international antibiotic policy. Emerging hallmarks for good antibiotic policies are: Structural, Equitable and Tracked. We describe these hallmarks and propose their consideration should aid the design and evaluation of international antibiotic policies with maximal benefit at both local and international scales

Antibiotic resistance · Antibiotics · Biology · Economics · Multidisciplinary approach · Political science · Politics · Public economics · Public health · Antibiotic Resistance in Bacteria · Antibiotic Use and Resistance · Medicine · Pharmaceutical and Antibiotic Environmental Impacts · Health Policy