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

Journal of Infection Prevention
Paul Flowers

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-...Continue Reading

References

Jul 16, 2004·The Journal of Antimicrobial Chemotherapy·Luca GuardabassiDavid H Lloyd
Jun 7, 2008·Current Opinion in Biotechnology·Fernando BaqueroRafael Cantón
Mar 21, 2013·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Susan MichieCaroline E Wood
Jun 5, 2013·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Andrew PrestwichSusan Michie
Jul 13, 2016·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Susan MichieLauren E Connell

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