Publication: Setting the standard: Multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy
Issued Date
2020-09-23
Resource Type
ISSN
20597908
Other identifier(s)
2-s2.0-85092384801
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Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
BMJ Global Health. Vol.5, No.9 (2020)
Suggested Citation
Claas Kirchhelle, Paul Atkinson, Alex Broom, Komatra Chuengsatiansup, Jorge Pinto Ferreira, Nicolas Fortané, Isabel Frost, Christoph Gradmann, Stephen Hinchliffe, Steven J. Hoffman, Javier Lezaun, Susan Nayiga, Kevin Outterson, Scott H. Podolsky, Stephanie Raymond, Adam P. Roberts, Andrew C. Singer, Anthony D. So, Luechai Sringernyuang, Elizabeth Tayler, Susan Rogers Van Katwyk, Clare I.R. Chandler Setting the standard: Multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy. BMJ Global Health. Vol.5, No.9 (2020). doi:10.1136/bmjgh-2020-003091 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/60082
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Title
Setting the standard: Multidisciplinary hallmarks for structural, equitable and tracked antibiotic policy
Author(s)
Claas Kirchhelle
Paul Atkinson
Alex Broom
Komatra Chuengsatiansup
Jorge Pinto Ferreira
Nicolas Fortané
Isabel Frost
Christoph Gradmann
Stephen Hinchliffe
Steven J. Hoffman
Javier Lezaun
Susan Nayiga
Kevin Outterson
Scott H. Podolsky
Stephanie Raymond
Adam P. Roberts
Andrew C. Singer
Anthony D. So
Luechai Sringernyuang
Elizabeth Tayler
Susan Rogers Van Katwyk
Clare I.R. Chandler
Paul Atkinson
Alex Broom
Komatra Chuengsatiansup
Jorge Pinto Ferreira
Nicolas Fortané
Isabel Frost
Christoph Gradmann
Stephen Hinchliffe
Steven J. Hoffman
Javier Lezaun
Susan Nayiga
Kevin Outterson
Scott H. Podolsky
Stephanie Raymond
Adam P. Roberts
Andrew C. Singer
Anthony D. So
Luechai Sringernyuang
Elizabeth Tayler
Susan Rogers Van Katwyk
Clare I.R. Chandler
Other Contributor(s)
Dahdaleh Institute for Global Health Research
Oxford Social Sciences Division
Infectious Diseases Research Collaboration
York University
London School of Hygiene & Tropical Medicine
Organisation Mondiale de la Santé
University of Exeter
The University of Sydney
Liverpool School of Tropical Medicine
University of Liverpool
Boston University
Imperial College London
Mahidol University
Universitetet i Oslo
Université Paris-Dauphine
Johns Hopkins Bloomberg School of Public Health
University College Dublin
UK Centre for Ecology & Hydrology
Harvard Medical School
Innovation + Design Enabling Access (IDEA) Initiative
Antimicrobial Resistance and Veterinary Products Department
Center for Disease Dynamics, Economics and Policy
Princess Maha Chakri Sirindhorn Anthropology Centre
Oxford Social Sciences Division
Infectious Diseases Research Collaboration
York University
London School of Hygiene & Tropical Medicine
Organisation Mondiale de la Santé
University of Exeter
The University of Sydney
Liverpool School of Tropical Medicine
University of Liverpool
Boston University
Imperial College London
Mahidol University
Universitetet i Oslo
Université Paris-Dauphine
Johns Hopkins Bloomberg School of Public Health
University College Dublin
UK Centre for Ecology & Hydrology
Harvard Medical School
Innovation + Design Enabling Access (IDEA) Initiative
Antimicrobial Resistance and Veterinary Products Department
Center for Disease Dynamics, Economics and Policy
Princess Maha Chakri Sirindhorn Anthropology Centre
Abstract
© 2020 Author(s) (or their employer(s)). Re-use permitted under CC BY. Published by BMJ. 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 â € 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 â € 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.