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Antimicrobial Resistance: a One Health Perspective.

Scott A McEwen1, Peter J Collignon2

  • 1Department of Population Medicine, University of Guelph, Guelph, Canada N1G 2W1.

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Summary
This summary is machine-generated.

A One Health approach is crucial for combating antimicrobial resistance by addressing its use and spread across human, animal, and environmental sectors. Implementing this strategy preserves essential medicines for future generations.

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Area of Science:

  • Public Health
  • Veterinary Medicine
  • Environmental Science

Background:

  • Antimicrobial resistance (AMR) is a global threat driven by the use and abuse of antimicrobials in human, animal, and environmental sectors.
  • The interconnectedness of human, animal, and environmental health necessitates a unified approach to tackle AMR.
  • Concerns include the use of medically important antimicrobials in animals and environmental pollution contributing to the resistome.

Purpose of the Study:

  • To highlight the importance of a One Health approach in addressing antimicrobial resistance.
  • To outline key strategies for preserving the effectiveness of existing antimicrobials.
  • To emphasize the need for global collaboration and policy changes.

Main Methods:

  • Review of current drivers and concerns related to antimicrobial use and resistance.
  • Analysis of the One Health framework's applicability to AMR.
  • Examination of recent guidelines and recommended actions.

Main Results:

  • A One Health approach integrates human, animal, and environmental health to combat AMR.
  • Key actions include improved regulation, surveillance, stewardship, infection control, and alternatives to antimicrobials.
  • WHO guidelines recommend stopping routine antimicrobial use for growth promotion in food-producing animals.

Conclusions:

  • Adopting a One Health strategy is essential for effective antimicrobial resistance containment.
  • Reducing inappropriate antimicrobial use in all sectors is critical for preserving drug efficacy.
  • International cooperation and policy implementation are vital for global AMR control.