A whole-health–economy approach to antimicrobial stewardship: Analysis of current models and future direction

McLeod, Monsey; Ahmad, Raheelah; Shebl, Nada Atef; Micallef, Christianne; Sim, F.; Holmes, Alison

doi:10.1371/journal.pmed.1002774

Cited by 19 publications

(17 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…93 , 94 A calculation of the extent of AMS integration within the whole health economy is critical in understanding how a “One Health” approach is incorporated in combatting AMR. 95 The concentration of AMS activity has been primarily hospital-based, which may be practical but artefactual. It fails to address the bidirectional flow between hospital and community care services as antimicrobial use in the community is associated with AMR development in and outside hospitals.…”

Section: Ams – Importance For Patient and Public Healthmentioning

confidence: 99%

See 1 more Smart Citation

Antimicrobial Stewardship: Fighting Antimicrobial Resistance and Protecting Global Public Health

Majumder¹,

Rahman²,

Cohall³

et al. 2020

IDR

309

188

View full text Add to dashboard Cite

Section: Ams – Importance For Patient and Public Healthmentioning

confidence: 99%

“…It fails to address the bidirectional flow between hospital and community care services as antimicrobial use in the community is associated with AMR development in and outside hospitals. 95 , 96 …”

Section: Ams – Importance For Patient and Public Healthmentioning

confidence: 99%

Antimicrobial Stewardship: Fighting Antimicrobial Resistance and Protecting Global Public Health

Majumder¹,

Rahman²,

Cohall³

et al. 2020

IDR

309

188

View full text Add to dashboard Cite

“…It is evaluated that around 700,000 individuals kick the bucket every year from drug-safe diseases, with specialists foreseeing a disturbing conceivable increment to 10 million passings every year by 2050 and significant future difficulties to the manner in which we practice medication and medical procedure. Opposition has been related with expanding mortality, treatment disappointment and medicinal services costs [3,4]. This disturbing rate surpasses the yearly number of passings brought about by disease (8.2 million) and is right around multiple times that of engine vehicle mishaps (1.2 million) [5].…”

Section: Respected Sirmentioning

confidence: 99%

Pharmacist-led Antimicrobial Stewardship

2019

ARC Journal of Pharmaceutical Sciences

View full text Add to dashboard Cite

“…Antimicrobial resistance (AMR) as a serious public health threat is well recognised requiring coordination across governments, country borders, and health and non-health sectors to maintain effectiveness of antimicrobials 1–3. While AMR occurs naturally, there are multiple modifiable drivers which accelerate the emergence and spread of resistant pathogens 4 5.…”

Section: Introductionmentioning

confidence: 99%

Strengthening strategic management approaches to address antimicrobial resistance in global human health: a scoping review

et al. 2019

Self Cite

View full text Add to dashboard Cite

IntroductionThe development and implementation of national strategic plans is a critical component towards successfully addressing antimicrobial resistance (AMR). This study aimed to review the scope and analytical depth of situation analyses conducted to address AMR in human health to inform the development and implementation of national strategic plans.MethodsA systematic search of the literature was conducted to identify all studies since 2000, that have employed a situation analysis to address AMR. The included studies are analysed against frameworks for strategic analysis, primarily the PESTELI (Political, Economic, Sociological, Technological, Ecological, Legislative, Industry) framework, to understand the depth, scope and utility of current published approaches.Results10 studies were included in the final review ranging from single country (6) to regional-level multicountry studies (4). 8 studies carried out documentary review, and 3 of these also included stakeholder interviews. 2 studies were based on expert opinion with no data collection. No study employed the PESTELI framework. Most studies (9) included analysis of the political domain and 1 study included 6 domains of the framework. Technological and industry analyses is a notable gap. Facilitators and inhibitors within the political and legislative domains were the most frequently reported. No facilitators were reported in the economic or industry domains but featured inhibiting factors including: lack of ring-fenced funding for surveillance, perverse financial incentives, cost-shifting to patients; joint-stock drug company ownership complicating regulations.ConclusionThe PESTELI framework provides further opportunities to combat AMR using a systematic, strategic management approach, rather than a retrospective view. Future analysis of existing quantitative data with interviews of key strategic and operational stakeholders is needed to provide critical insights about where implementation efforts should be focussed, and also how to build contingency at the strategic level for agile responses to macro-level environmental influences.

show abstract

A whole-health–economy approach to antimicrobial stewardship: Analysis of current models and future direction

Abstract: In a Policy Forum, Alison Holmes and colleagues discuss coordinated approaches to antimicrobial stewardship.

Cited by 19 publications

References 31 publications

Antimicrobial Stewardship: Fighting Antimicrobial Resistance and Protecting Global Public Health

Antimicrobial Stewardship: Fighting Antimicrobial Resistance and Protecting Global Public Health

Pharmacist-led Antimicrobial Stewardship

Strengthening strategic management approaches to address antimicrobial resistance in global human health: a scoping review

Contact Info

Product

Resources

About