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Antimicrobial stewardship: a definition with a One Health perspective.

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Summary
This summary is machine-generated.

Antimicrobial stewardship (AMS) definitions vary, hindering collaboration. A new, unified AMS definition for human and animal health is proposed to improve intersectoral communication and One Health initiatives.

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Area of Science:

  • One Health
  • Antimicrobial Resistance
  • Public Health

Background:

  • Antimicrobial stewardship (AMS) is crucial for combating antimicrobial resistance.
  • Current AMS definitions are context-specific, limiting intersectoral collaboration.
  • Disparate definitions complicate the design and evaluation of AMS interventions from a One Health perspective.

Purpose of the Study:

  • To propose a unified definition of antimicrobial stewardship.
  • To facilitate intersectoral communication and cooperation in AMS.
  • To support a One Health approach to antimicrobial resistance.

Main Methods:

  • Utilized boundary object theory to analyze AMS in human and animal health sectors.
  • Identified common elements across different AMS contexts.
  • Developed a new, inclusive definition of antimicrobial stewardship.

Main Results:

  • Identified three key common elements in AMS: collective responsibility, flexibility, and contextual contingency.
  • Proposed a novel definition of antimicrobial stewardship applicable to both human and animal health.
  • The proposed definition aims to enhance communication and collaboration.

Conclusions:

  • A unified AMS definition is essential for effective intersectoral collaboration.
  • The proposed definition can improve the implementation and evaluation of AMS interventions.
  • Future work includes extending the definition to plant and ecosystem health.