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The New Precision Stewards?

Karen M Meagher1, Sara Watson1, Gina A Suh2

  • 1Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN 55905, USA.

Journal of Personalized Medicine
|August 26, 2022
PubMed
Summary
This summary is machine-generated.

Precision stewardship aims to combat antimicrobial resistance (AMR) by delivering the right drug at the right time. This paper proposes a new field, "the ELSI of precision stewardship," to address the ethical, legal, and social implications of AMR.

Keywords:
antimicrobial drug resistanceantimicrobial stewardshipbiomedical ethicsbiomedical researchenvironment and public healthmicrobial genetics

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Area of Science:

  • Public Health and Infectious Diseases
  • Bioethics and Health Policy
  • Genomics and Precision Medicine

Background:

  • The precision health era offers new strategies to combat antimicrobial resistance (AMR).
  • Current "precision stewardship" efforts leverage molecular advances like rapid diagnostics and real-time surveillance.
  • AMR's causes span molecular to global policy levels, necessitating a multidisciplinary approach.

Purpose of the Study:

  • To identify research gaps and propose an agenda for the ethical, legal, and social implications (ELSI) of precision stewardship.
  • To explore the parallels between ELSI research in human genetics and the emerging needs in AMR.
  • To foster collaboration for future stewardship teams by defining a distinct ELSI agenda for precision stewardship.

Main Methods:

  • Gap analysis of existing research on the ethical, legal, and social implications (ELSI) related to antimicrobial resistance (AMR).
  • Review of accomplishments in U.S. national investment in ELSI research, particularly concerning human genetics.
  • Overview of distinct ELSI topics pertinent to AMR and precision stewardship.

Main Results:

  • Antimicrobial resistance (AMR) presents complex ethical, legal, and social implications that require dedicated study.
  • Existing ELSI research frameworks, particularly from human genetics, can inform the development of an AMR-focused ELSI agenda.
  • A defined field for "the ELSI of precision stewardship" is needed to address the multifaceted nature of AMR.

Conclusions:

  • The rise of AMR necessitates a parallel field of study focusing on its ethical, legal, and social dimensions.
  • Establishing "the ELSI of precision stewardship" will enhance collaborative efforts and strengthen future stewardship teams.
  • Integrating ELSI considerations into precision stewardship strategies is crucial for effectively combating antimicrobial resistance.