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Using antibiotics responsibly: are we there yet?

Oliver James Dyar1,2,3,4,5, Celestino Obua1,2,3,4,5, Sujith Chandy1,2,3,4,5

  • 1Global Health - Health Systems & Policy (HSP): Improving the Use of Medicines, Department of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18A, 171 77 Stockholm, Sweden.

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Antibiotic resistance is rising, driven by access and excess issues. A global stewardship is needed to balance individual use with societal sustainability, ensuring access for all.

Keywords:
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Area of Science:

  • Global Health
  • Antimicrobial Stewardship
  • Public Health Policy

Background:

  • Coexisting problems of antibiotic access and excess contribute to rising antimicrobial resistance globally.
  • Responsible antibiotic use involves individual practices and societal sustainability obligations.
  • Tensions exist between individual and societal optima for antibiotic use.

Purpose of the Study:

  • To introduce dimensions of responsibility for antibiotic use.
  • To explore the complexity of antibiotic access, excess, and resistance.
  • To advocate for a global stewardship of antibiotics.

Main Methods:

  • Analysis of the tragedy of the commons metaphor in relation to antibiotic use.
  • Drawing on real-world experiences from Uganda, India, China, and France.
  • Conceptual framework development for antibiotic stewardship.

Main Results:

  • Individual and societal optima for antibiotic use can be in conflict.
  • Global collaboration is essential to address antibiotic resistance.
  • Sustainable antibiotic access requires integrated efforts.

Conclusions:

  • A global stewardship of antibiotics is imperative.
  • This stewardship must link access, innovation, and conservation efforts.
  • Ensuring sustainable access to effective antibiotics for everyone is the ultimate goal.