Antimicrobial Resistance: a One Health Perspective
Scott A McEwen1, Peter J Collignon2
1Department of Population Medicine, University of Guelph, Guelph, Canada N1G 2W1.
Microbiology Spectrum
|March 31, 2018
Summary
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.
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.
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