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McLeod, Monsey, Ahmad, Raheelah, Shebl, Nada Atef, Micallef, Christianne 
ORCID: https://orcid.org/0000-0002-4513-8199, Sim, Fiona and Holmes, Alison
(2019)
A whole-health–economy approach to antimicrobial stewardship: Analysis of current models and future direction.
PLoS Medicine, 16 (3).
ISSN 1549-1277
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Abstract
- Antimicrobial stewardship (AMS) strategies are widely implemented in single healthcare sectors and organisations; however, the extent and impact of integrated AMS initiatives across the whole health economy are unknown. - Assessing degree of integration of AMS across the whole health economy and its impact is essential if we are to achieve a ‘One Health’ approach to addressing antimicrobial resistance (AMR), and therefore we searched systematically for and analysed published examples of integrated AMS initiatives to address this gap. - Application of a system-level framework to analyse integration of AMS initiatives across and within healthcare sectors shows that integration is emerging but needs strengthening. - Findings from a small number of evaluations in high-income countries suggest that antimicrobial prescribing and healthcare-associated infections can be reduced using a multisectoral integrated AMS approach. - More robust research designs to evaluate and understand the impact of multisectoral integrated AMS are needed, particularly with respect to differing health systems in different countries and local organisational contexts. - Our analysis highlights a number of challenges and ways forward for enhancing the delivery of AMS through an integrated approach.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | medicine(all) ,/dk/atira/pure/subjectarea/asjc/2700 |
| Faculty \ School: | Faculty of Science > School of Pharmacy |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 18 Aug 2022 08:30 |
| Last Modified: | 22 Oct 2022 07:55 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/87403 |
| DOI: | 10.1371/journal.pmed.1002774 |
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