‘Antibiotic footprint’ as a communication tool to aid reduction of antibiotic consumption

Author:

Limmathurotsakul Direk123ORCID,Sandoe Jonathan A T45,Barrett David C6,Corley Michael5,Hsu Li Yang78,Mendelson Marc910,Collignon Peter1112,Laxminarayan Ramanan1314,Peacock Sharon J15ORCID,Howard Philip45

Affiliation:

1. Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, 10400, Thailand

2. Department of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok, 10400, Thailand

3. Centre for Tropical Medicine and Global Health, University of Oxford, Oxford OX3 7FZ, UK

4. University of Leeds/Leeds Teaching Hospitals NHS Trust, Leeds LS1 3EX, UK

5. British Society of Antimicrobial Chemotherapy, Birmingham B1 3NJ, UK

6. Bristol Veterinary School, University of Bristol, Bristol BS40 5DU, UK

7. Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, 12 Science Drive 2, Singapore 117649, Singapore

8. National Centre for Infectious Diseases, Moulmein Road, Singapore 308433, Singapore

9. Division of Infectious Diseases & HIV Medicine, Department of Medicine, University of Cape Town, Cape Town, 7925, South Africa

10. International Society for Infectious Diseases, Brookline, MA 02446, USA

11. Infectious Diseases and Microbiology, Canberra Hospital, Canberra, 2605, Australia

12. Medical School, Australian National University, Acton, 2606, Australia

13. Center for Disease Dynamics, Economics & Policy, New Delhi, 110024, India

14. Princeton Environmental Institute, Princeton, NJ 08544, USA

15. Department of Medicine, University of Cambridge, Cambridge CB2 0QQ, UK

Abstract

Abstract ‘Superbugs’, bacteria that have become resistant to antibiotics, have been in numerous media headlines, raising awareness of antibiotic resistance and leading to multiple action plans from policymakers worldwide. However, many commonly used terms, such as ‘the war against superbugs’, risk misleading people to request ‘new’ or ‘stronger’ antibiotics from their doctors, veterinary surgeons or pharmacists, rather than addressing a fundamental issue: the misuse and overuse of antibiotics in humans and animals. Simple measures of antibiotic consumption are needed for mass communication. In this article, we describe the concept of the ‘antibiotic footprint’ as a tool to communicate to the public the magnitude of antibiotic use in humans, animals and industry, and how it could support the reduction of overuse and misuse of antibiotics worldwide. We propose that people need to make appropriate changes in behaviour that reduce their direct and indirect consumption of antibiotics.

Funder

Wellcome Trust

Health Innovation Challenge Fund

Department of Health

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology,Microbiology (medical)

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