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

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Date
2020
Link to item file
https://gh.bmj.com/content/5/9/e003091
Dewey
Culture et comportements
Sujet
sociologie; agriculture; antibiotique
Journal issue
BMJ Global Health
Volume
5
Number
9
Publication date
2020
Publisher
BMJ Publishing Group
DOI
http://dx.doi.org/10.1136/bmjgh-2020-003091
URI
https://basepub.dauphine.fr/handle/123456789/21599
Collections
  • IRISSO : Publications
Metadata
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Author
Atkinson, Paul
Broom, Alex
Chandler, Clare
Chuengsatiansup, Komatra
Fortané, Nicolas
1008489 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
542132 Institut Pierre Louis d'Epidémiologie et de Santé Publique [iPLESP]
Roberts, Adam
Singer, Andrew
532598 Lake Ecosystems Group [Lancaster, U.K.] [Centre for Ecology & Hydrology]
So, Anthony
Sringernyuang, Luechai
Tayler, Elizabeth
Pinto Ferreira, Jorge
Van Katwyk, Susan
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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