Achieving Antimicrobial Stewardship on the Global Scale: Challenges and Opportunities

作者：Jorge Pinto Ferreira, Daniela Battaglia, Alejandro García, KimAnh Tempelman, Carmen Bullón, Nelea Motriuc, Mark A. Caudell, Sarah Cahill, Junxia Song, Jeffrey T. LeJeune · 发表于：Microorganisms · 年份：2022 · DOI：10.3390/microorganisms10081599 · 被引用次数：82 · 研究领域：Pharmaceutical and Antibiotic Environmental Impacts、Antibiotic Use and Resistance、Insect and Pesticide Research

Antimicrobial resistance (AMR) has been clearly identified as a major global health challenge. It is a leading cause of human deaths and also has a toll on animals, plants, and the environment. Despite the considerable socio-economic impacts, the level of awareness of the problem remains woefully inadequate, and antimicrobials are not generally recognized as a global common good, one that everyone has a role and responsibility to conserve. It is imperative for antimicrobial stewardship to be more widely implemented to achieve better control of the AMR phenomenon. The Food and Agriculture Organization (FAO) of the United Nations plays an important role in promoting and facilitating antimicrobial stewardship. The specific needs to be addressed and barriers to be overcome, in particular, in low- and middle-income countries in order to implement antimicrobial stewardship practices in agrifood systems are being identified. As a global community, it is essential that we now move beyond discussing the AMR problem and focus on implementing solutions. Thus, FAO provides multi-pronged support for nations to improve antimicrobial stewardship through programs to strengthen governance, increase awareness, develop and enhance AMR surveillance, and implement best practices related to antimicrobial resistance in agrifood systems. For example, FAO is developing a platform to collect data on AMR in animals and antimicrobial use (AMU) in plants (InFARM), working on a campaign to reduce the need...