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As of 2017, the emergence and spread of antimicrobial resistance continues unabated around the world, leaving devastating health and economic outcomes in its wake. Those consequences will multiply if collaborative global action is not taken to address the spread of resistance. Major drivers of antimicrobial resistance in humans have been accelerated by inappropriate antimicrobial prescribing in health care practices; the inappropriate use of antimicrobials in livestock; and the promulgation of antibiotic resistance genes in the environment.
To explore the issue of antimicrobial resistance, the Forum of Microbial Threats planned a public workshop. Participants explored issues of antimicrobial resistance through the lens of One Health, which is a collaborative approach of multiple disciplines—working locally, nationally, and globally—for strengthening systems to counter infectious diseases and related issues that threaten human, animal, and environmental health, with an end point of improving global health and achieving gains in development. They also discussed immediate and short-term actions and research needs that will have the greatest effect on reducing antimicrobial resistance, while taking into account the complexities of bridging different sectors and disciplines to address this global threat. This publication summarizes the presentations and discussions from the workshop.
Contents
- The National Academies of SCIENCES • ENGINEERING • MEDICINE
- PLANNING COMMITTEE ON COMBATING ANTIMICROBIAL RESISTANCE: A ONE HEALTH APPROACH TO A GLOBAL THREAT
- FORUM ON MICROBIAL THREATS
- Reviewers
- Acknowledgments
- Acronyms and Abbreviations
- 1. Introduction
- 2. The Global Momentum to Counter Antimicrobial Resistance
- 3. Microbial and Genetic Movements Across the One Health Domains
- 4. Applying Social and Behavioral Sciences to Combating Antimicrobial Resistance
- 5. Research and Development Actions for Reducing the Need for Antimicrobials
- SCIENTIFIC ADVANCES AND PROMISING RESEARCH TO REDUCE THE NEED FOR ANTIMICROBIALS FROM A HUMAN AND AN ANIMAL HEALTH PERSPECTIVE
- VACCINATION TO REDUCE THE BURDEN OF ANTIMICROBIAL RESISTANCE
- RESEARCH AND DEVELOPMENT ACTIONS IN DIAGNOSTICS
- ECONOMIC STRATEGIES FOR ACCELERATING RESEARCH AND DEVELOPMENT FOR NEW ANTIMICROBIALS
- DISCUSSION
- 6. Strengthening Partnerships and International Cooperation
- 7. Moving from Knowledge to Action—Participants' Perspectives
- References
- APPENDIXES
Rapporteurs: Anna Nicholson, V. Ayano Ogawa, and Ceci Mundaca-Shah.
Suggested citation:
National Academies of Sciences, Engineering, and Medicine. 2017. Combating antimicrobial resistance: A One Health approach to a global threat: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/24914.
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