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Setting the agenda for social science research on the human microbiome

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Date
2020
Dewey
Culture et comportements
Sujet
sociologie; agriculture; antibiotique
Journal issue
Palgrave Communications
Volume
6
Number
1
Publication date
2020
DOI
http://dx.doi.org/10.1057/s41599-020-0388-5
URI
https://basepub.dauphine.fr/handle/123456789/21367
Collections
  • IRISSO : Publications
Metadata
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Author
Fortané, Nicolas
1008489 Institut de Recherche Interdisciplinaire en Sciences Sociales [IRISSO]
Singer, Andrew
Roberts, Adam
Raymond, Stéphanie
542132 Institut Pierre Louis d'Epidémiologie et de Santé Publique [iPLESP]
Podolsky, Scott
Outterson, Kevin
Nayiga, Susan
Lezaun, Javier
Hoffman, Steven
Hinchliffe, Stephen
Gradmann, Christoph
Frost, Isabel
Pinto Ferreira, Jorge
Chuengsatiansup, Komatra
Broom, Alex
Atkinson, Paul
Kirchhelle, Claas
Type
Article accepté pour publication ou publié
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.

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