Study Notes 3

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Learning Objective:

1. Students understand the extend of antimicrobial resistance problem.


2. Students identify sources of antimicrobial resistance.
3. Students interpret how antimicrobial usage policy affect human, animal, and
environmental health.

One health its importance in helping to better control antimicrobial resistance, Approaching
any issue from a One Health perspective necessitates looking at the interactions of people,
domestic animals, wildlife, plants, and our environment. For antimicrobial resistance this
includes antimicrobial use (and abuse) in the human, animal and environmental sectors. More
importantly, the spread of resistant bacteria and resistance determinants within and between
these sectors and globally must be addressed. Better managing this problem includes taking steps
to preserve the continued effectiveness of existing antimicrobials such as trying to eliminate their
inappropriate use, particularly where they are used in high volumes. In people it is essential to
better prevent infections, reduce over-prescribing and over-use of antimicrobials and stop
resistant bacteria from spreading by improving hygiene and infection control, drinking water and
sanitation. Wastewater as a source of antimicrobial resistance, Wastewater contains a mixture of
different pharmaceuticals and bacteria, and so it represents an important hotspot for the
development and dissemination of antibiotic-resistant bacteria and antibiotic resistance genes.
These bacteria together with their genes can spread further into the environment and food chain,
endangering humans and animals.

One health approach to reduce the infection and antimicrobial disease, The WHO advocates
the use of a One Health approach to address antimicrobial resistance (AMR), focusing on
integrating human, animal and environmental health factors. Nevertheless, there is a dearth of
AMR research investigating the complexity of down and upstream factors across the One Health
spectrum, especially in resource-deprived settings.

Antimicrobial resistance: antibiotics misuse or abuse? Infections caused by multidrug-resistant


(MDR) strains were first reported in hospital settings, where antimicrobial use was most
preavalent. Antibiotic compounds are essential not only for human therapy but also for
prophylaxis and growth promotion in the animal food industry.

The use of antimicrobials in animals for growth promotion and infection prevention
significantly contributes to the development of antimicrobial resistance (AMR), a growing public
health threat. While the World Health Organization (WHO), the United Nations (UN) and the
European Union (EU) have taken steps towards reducing and restricting the use of antimicrobials
in animals, initiatives are insufficient in developing countries where the demands for food
animals continue to rise over the years. The inter-sectoral acknowledgment of inextricable link
between animal health, human health and the environment (One Health approach) is critical.
Concerted and collaborative efforts among all the stakeholders are essential to deal with this
complex problem of resistance. There is a need to increase awareness among the population on
proper access, use and disposal of antimicrobials for both humans and animals. Development of
a drug disposal system at community level would facilitate improved waste management of
antimicrobials. Together, these measures would help prevent the rate of progression of AMR in
communities.

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