Exploring the evidence base for national and regional policy interventions to combat resistance
| Autor: | Anthony Kessel, Mark M. Rweyemamu, Khalid M. Bindayna, Emmeline J. Buckley, Anthony D. So, Grazia Caleo, Jørgen Schlundt, Haydar Giha, Mohammed Shahid, Richard Kock, Mishal S Khan, Fazal Karim Dar, Stéphan Juergen Harbarth, Rumina Hasan, Henry Lishi Li, Hanne Bak Pedersen, Osman Dar, Jasper Littmann, Alimuddin Zumla, John-Arne Røttingen, David L Heymann, Govin Permanand |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Program evaluation Infection Control/methods 030106 microbiology Developing country Health Promotion Regional policy 03 medical and health sciences 0302 clinical medicine Drug Resistance Bacterial Medicine Animals Humans 030212 general & internal medicine Animal Husbandry Health policy ddc:616 Infection Control Evidence-Based Medicine Public economics business.industry Health Policy Environmental resource management General Medicine Evidence-based medicine Delivery of Health Care/organization & administration/standards Anti-Bacterial Agents Anti-Bacterial Agents/therapeutic use Health promotion One Health Health Care Reform Health care reform business Delivery of Health Care Animal Husbandry/methods Program Evaluation |
| Zdroj: | The Lancet, Vol. 387, No 10015 (2016) pp. 285-295 |
| ISSN: | 0140-6736 |
| Popis: | The effectiveness of existing policies to control antimicrobial resistance is not yet fully understood. A strengthened evidence base is needed to inform effective policy interventions across countries with different income levels and the human health and animal sectors. We examine three policy domains-responsible use, surveillance, and infection prevention and control-and consider which will be the most effective at national and regional levels. Many complexities exist in the implementation of such policies across sectors and in varying political and regulatory environments. Therefore, we make recommendations for policy action, calling for comprehensive policy assessments, using standardised frameworks, of cost-effectiveness and generalisability. Such assessments are especially important in low-income and middle-income countries, and in the animal and environmental sectors. We also advocate a One Health approach that will enable the development of sensitive policies, accommodating the needs of each sector involved, and addressing concerns of specific countries and regions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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