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Combating global antibiotic resistance: emerging one health concerns in lower- and middle-income countries

Nadimpalli, Maya, Delarocque-Astagneau, Elisabeth, Love, David C, Price, Lance B, Huynh, Bich-Tram, Collard, Jean-Marc, Lay, Kruy Sun, Borand, Laurence, Ndir, Awa, Walsh, Timothy R, Guillemot, Didier, Borand, Laurence, De Lauzanne, Agathe, Kerleguer, Alexandra, Tarantola, Arnaud, Piola, Patrice, Chon, Thida, Lach, Siyin, Ngo, Veronique, Touch, Sok, Andrianirina, Zo Zafitsara, Vray, Muriel, Richard, Vincent, Seck, Abdoulaye, Bercion, Raymond, Sow, Amy Gassama, Diouf, Jean Baptiste, Dieye, Pape Samba, Sy, Balla, Ndao, Bouya, Seguy, Maud, Watier, Laurence and Abdou, Armiya Youssouf 2018. Combating global antibiotic resistance: emerging one health concerns in lower- and middle-income countries. Clinical Infectious Diseases 66 (6) , pp. 963-969. 10.1093/cid/cix879

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Abstract

Antibiotic misuse in lower- and middle-income countries (LMICs) contributes to the development of antibiotic resistance that can disseminate globally. Strategies specific to LMICs that seek to reduce antibiotic misuse by humans, but simultaneously improve antibiotic access, have been proposed. However, most approaches to date have not considered the growing impact of animal and environmental reservoirs of antibiotic resistance, which threaten to exacerbate the antibiotic resistance crisis in LMICs. In particular, current strategies do not prioritize the impacts of increased antibiotic use for terrestrial food-animal and aquaculture production, inadequate food safety, and widespread environmental pollution. Here, we propose new approaches that address emerging, One Health challenges.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: University of Chicago Press
ISSN: 1058-4838
Date of First Compliant Deposit: 11 June 2018
Date of Acceptance: 9 October 2017
Last Modified: 15 Jan 2019 02:31
URI: http://orca.cf.ac.uk/id/eprint/112160

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