Antimicrobial Resistance (AMR) Surveillance Under One Health

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Handbook on Antimicrobial Resistance
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Abstract

Antimicrobial resistance (AMR) has a significant effect on the lives of humans and animals, and it is emerging as a global scrouge. Increased antibiotic resistance in bacterial pathogens of medical and veterinary importance costs dearly to the lives of humans and animals. The AMR affliction must be addressed with appropriate surveillance, prevention, and control strategies. One Health approach involving human health, animal health, and environment sectors (multisectoral action) plays a crucial role in AMR surveillance. The objective behind the One Health surveillance is due to the microbial and genetic movements across human, animal, and environment sectors. As the antimicrobials usage (AMU) in humans and animals is one of the main drivers for AMR, it is quintessential to monitor them with efficient surveillance networks. However, One Health surveillance is a laborious task, requiring harmonization of protocols and collection of bacterial isolates from different sectors (human, veterinary/fishery, and environment). In veterinary and aqua sectors, AMR in foodborne bacteria is more focused as it poses public health threat. Zoonotic and indicator bacteria also assume relevance under One Health approach. AMR data integration and its analysis form the core section of the application and inference aspect of One Health surveillance. Prescription/use of certain antibiotics like doxycycline, azithromycin, etc., during the COVID-19 pandemic also necessitates the AMR surveillance under One Health during/after pandemic. Strong political will with sustained budgetary support is required for the implementation of AMR surveillance under One Health.

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P, A.K. (2023). Antimicrobial Resistance (AMR) Surveillance Under One Health. In: Mothadaka, M.P., Vaiyapuri, M., Rao Badireddy, M., Nagarajrao Ravishankar, C., Bhatia, R., Jena, J. (eds) Handbook on Antimicrobial Resistance. Springer, Singapore. https://doi.org/10.1007/978-981-16-9723-4_33-1

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  • DOI: https://doi.org/10.1007/978-981-16-9723-4_33-1

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