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Setting the standard: multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy

Atkinson, Paul; Broom, Alex; Chandler, Clare; Chuengsatiansup, Komatra; Fortané, Nicolas; Frost, Isabel; Gradmann, Christoph; Hinchliffe, Stephen; Hoffman, Steven; Kirchhelle, Claas; Lezaun, Javier; Nayiga, Susan; Outterson, Kevin; Podolsky, Scott; Raymond, Stéphanie; Roberts, Adam; Singer, Andrew; So, Anthony; Sringernyuang, Luechai; Tayler, Elizabeth; Pinto Ferreira, Jorge; Van Katwyk, Susan (2020), Setting the standard: multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy, BMJ Global Health, 5, 9. 10.1136/bmjgh-2020-003091

Type
Article accepté pour publication ou publié
External document link
https://gh.bmj.com/content/5/9/e003091
Date
2020
Journal name
BMJ Global Health
Volume
5
Number
9
Publisher
BMJ Publishing Group
Publication identifier
10.1136/bmjgh-2020-003091
Metadata
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Author(s)
Atkinson, Paul

Broom, Alex

Chandler, Clare

Chuengsatiansup, Komatra

Fortané, Nicolas
Institut de Recherche Interdisciplinaire en Sciences Sociales [IRISSO]
Frost, Isabel

Gradmann, Christoph

Hinchliffe, Stephen

Hoffman, Steven

Kirchhelle, Claas

Lezaun, Javier

Nayiga, Susan

Outterson, Kevin

Podolsky, Scott

Raymond, Stéphanie
Institut Pierre Louis d'Epidémiologie et de Santé Publique [iPLESP]
Roberts, Adam

Singer, Andrew
Lake Ecosystems Group [Lancaster, U.K.] [Centre for Ecology & Hydrology]
So, Anthony

Sringernyuang, Luechai

Tayler, Elizabeth

Pinto Ferreira, Jorge

Van Katwyk, Susan
Abstract (EN)
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.
Subjects / Keywords
sociologie; agriculture; antibiotique

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