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Combating Antimicrobial Resistance A One Health Approach to a Global Threat: Proceedings of a Workshop (2017) / Chapter Skim
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7 Moving from Knowledge to Action - Participants' Perspectives
Pages 107-114

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From page 107...
... was Jeffrey Duchin, health officer and chief, Communicable Disease Epidemiology and Immunization Section for Public Health, Seattle and King County, Washington. For the breakout group on stewardship, infection prevention, and behavior modification (Group 2)
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From page 108...
... SUGGESTED ACTIONS TO IMPROVE SURVEILLANCE Duchin reported for the breakout group on surveillance. The first suggested action, he said, was to optimize data acquisition from existing sources, including • Antibiotic prescribing patterns, • Antibiograms from clinical health care facilities and the U.S.
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From page 109...
... Another suggested action for both domains, Rex said, is building workforce capacity by training health care providers and leadership, as well as establishing standardized curricula that include stewardship and infection prevention. A suggested action specific to the human domain, said Rex, concerns measuring and reporting data on antimicrobial usage, such as usage by tonnage by a territory and usage by health care providers.
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From page 110...
... SUGGESTED ACTIONS TO IMPROVE GLOBAL POLICY AND COORDINATION Reporting for the breakout group on affecting global policy and coordination, Moon explained that the group began by looking at the world of antimicrobial resistance. She described it as "a world of about 10,000 pieces that may or may not fit together into a puzzle." However, she noted, there may be better ways to frame the issue because of natural overlap of these activities with such things as global health security and universal health coverage.
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From page 111...
... Keiji Fukuda, director and clinical professor at the University of Hong Kong School of Public Health, observed that it is very difficult to create new systems to package together funding and partners at the international level, which may pose a barrier to ­ elman's suggestion. Fukuda suggested that there is more potential for R success at the country level to leverage antimicrobial resistance as a rallying cry, but the concept of antimicrobial resistance will need to be clarified as a unified concept -- with a consistent description -- to sustain attention on the issue.
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From page 112...
... Kumanan Rasanathan, chief of the Implementation Research and Delivery Science Unit at the United Nations Children's Fund, reflected that strengthening the antimicrobial ecosystem does need that type of unifying banner, but that it needs to be coupled with efforts to penetrate into existing agendas that already have ongoing community action. He used climate change as an example, noting that it has moved forward, not necessarily because people identified with the climate change movement under a unified banner, but because of people acting in their own spheres of interest (e.g., transport planners want to reduce congestion because it is often a key deliverable for them)
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From page 113...
... To better understand the actual level of risk and find solutions, Daszak suggested the pharmaceutical industry should be persuaded to open up their sales and surveillance data. Davies noted that efforts to promote the fight against resistance on the global stage are hampered by the lack of a WHO International Classification of Diseases code for people who have severe morbidity or mortality from antimicrobial resistance, which is a requisite step for standardizing data.
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From page 114...
... He hoped that the workshop would help stimulate even more action moving forward and achieve big wins in the immediate term.
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Key Terms

  • suggested action
  • suggested actions
  • infection prevention
  • global policy
  • behavior modification

  • global health
  • moving forward
  • universal health
  • country level
  • suggested activity

  • improve health
  • antimicrobial usage
  • antimicrobial ecosystem
  • leverage antimicrobial
  • inserting antimicrobial

  • individual institutions
  • implementation research
  • standardizing data
  • care setting
  • concerns convening

  • data acquisition
  • rallying cry
  • kumanan rasanathan
  • natural overlap
  • surveillance methods

  • care capacity
  • identifying gaps
  • duchin suggested
  • strategy officer
  • moon explained


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