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Evidence for action: a One Health learning platform on interventions to tackle antimicrobial resistance

Wernli D 1 , Jørgensen PS 2 , Parmley EJ 3 , Troell M 4 , Majowicz S 5 , Harbarth S 6 Show all authors , Léger A 7 , Lambraki I 5 , Graells T 2 , Henriksson PJG 8 , Carson C 9 , Cousins M 5 , Skoog Ståhlgren G 10 , Mohan CV 11 , Simpson AJH 12 , Wieland B 13 , Pedersen K 14 , Schneider A 15 , Chandy SJ 16 , Wijayathilaka TP 17 , Delamare-Deboutteville J 11 , Vila J 18 , Stålsby Lundborg C 19 , Pittet D 6

Affiliations 

  • 1 Geneva Transformative Governance Lab, Global Studies Institute, University of Geneva, Geneva, Switzerland; School of Public Health, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong Special Administrative Region, China. Electronic address: didier.wernli@unige.ch
  • 2 Global Economic Dynamics and the Biosphere, The Royal Swedish Academy of Sciences, Stockholm, Sweden; Stockholm Resilience Centre, Stockholm University, Stockholm, Sweden
  • 3 Department of Population Medicine, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada
  • 4 Beijer Institute of Ecological Economics, The Royal Swedish Academy of Sciences, Stockholm, Sweden; Stockholm Resilience Centre, Stockholm University, Stockholm, Sweden
  • 5 School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada
  • 6 Infection Control Program and World Health Organization Collaborating Centre on Patient Safety, University Hospitals and Faculty of Medicine, University of Geneva, Geneva, Switzerland
  • 7 Geneva Transformative Governance Lab, Global Studies Institute, University of Geneva, Geneva, Switzerland
  • 8 Beijer Institute of Ecological Economics, The Royal Swedish Academy of Sciences, Stockholm, Sweden; Stockholm Resilience Centre, Stockholm University, Stockholm, Sweden; WorldFish, Penang, Malaysia
  • 9 Centre for Foodborne, Environmental and Zoonotic Infectious Diseases, Public Health Agency of Canada, Guelph, ON, Canada
  • 10 Unit for Antibiotics and Infection Control, The Public Health Agency of Sweden, Solna, Sweden
  • 11 WorldFish, Penang, Malaysia
  • 12 Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine Research Building, University of Oxford, Oxford, UK; Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit, Microbiology Laboratory, Mahosot Hospital, Vientiane, Laos
  • 13 International Livestock Research Institute, Nairobi, Kenya
  • 14 National Veterinary Institute, Uppsala, Sweden
  • 15 Department of Clinical, Educational and Health Psychology, University College London, London, UK
  • 16 Department of Pharmacology and Clinical Pharmacology, Christian Medical College, Vellore, India
  • 17 World Organisation for Animal Health, OIE Sub-Regional Representation for South East Asia, Bangkok, Thailand
  • 18 Department of Clinical Microbiology, Biomedical Diagnostic Center, Hospital Clinic School of Medicine and Barcelona Institute for Global Health, University of Barcelona, Barcelona, Spain
  • 19 Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
Lancet Infect Dis, 2020 Dec;20(12):e307-e311.
PMID: 32853549 DOI: 10.1016/S1473-3099(20)30392-3

Abstract

Improving evidence for action is crucial to tackle antimicrobial resistance. The number of interventions for antimicrobial resistance is increasing but current research has major limitations in terms of efforts, methods, scope, quality, and reporting. Moving the agenda forwards requires an improved understanding of the diversity of interventions, their feasibility and cost-benefit, the implementation factors that shape and underpin their effectiveness, and the ways in which individual interventions might interact synergistically or antagonistically to influence actions against antimicrobial resistance in different contexts. Within the efforts to strengthen the global governance of antimicrobial resistance, we advocate for the creation of an international One Health platform for online learning. The platform will synthesise the evidence for actions on antimicrobial resistance into a fully accessible database; generate new scientific insights into the design, implementation, evaluation, and reporting of the broad range of interventions relevant to addressing antimicrobial resistance; and ultimately contribute to the goal of building societal resilience to this central challenge of the 21st century.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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