Antimicrobial resistance: a biopsychosocial problem requiring innovative interdisciplinary and imaginative interventions

Flowers, P. (2018) Antimicrobial resistance: a biopsychosocial problem requiring innovative interdisciplinary and imaginative interventions. Journal of Infection Prevention, 19(4), pp. 195-199. (doi:10.1177/1757177418755308) (PMID:30013625)

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Abstract

To date, antimicrobials have been understood through largely biomedical perspectives. There has been a tendency to focus upon the effectiveness of pharmaceuticals within individual bodies. However, the growing threat of antimicrobial resistance demands we reconsider how we think about antimicrobials and their effects. Rather than understanding them primarily within bodies, it is increasingly important to consider their effects between bodies, between species and across environments. We need to reduce the drivers of antimicrobial resistance (AMR) at a global level, focusing on the connections between prescribing in one country and resistance mechanisms in another. We need to engage with the ways antimicrobials within the food chain will impact upon human healthcare. Moreover, we need to realise what happens within the ward will impact upon the environment (through waste water). In the future, imaginative interventions will be required that must make the most of biomedicine but draw equally across a wider range of disciplines (e.g. engineering, ecologists) and include an ever-increasing set of professionals (e.g. nurses, veterinarians and farmers). Such collective action demands a shift to working in new interdisciplinary, inter-professional ways. Mutual respect and understanding is required to enable each perspective to be combined to yield synergistic effects.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Flowers, Professor Paul
Authors: Flowers, P.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO Unit
Journal Name:Journal of Infection Prevention
Publisher:SAGE
ISSN:1757-1774
ISSN (Online):1757-1782
Published Online:16 February 2018
Copyright Holders:Copyright © 2018 The Author
First Published:First published in Journal of Infection Prevention 19(4):195-199
Publisher Policy:Reproduced in accordance with the copyright policy of the publisher

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