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Governing antimicrobial resistance: a narrative review of global governance mechanisms.
Ruckert, Arne; Fafard, Patrick; Hindmarch, Suzanne; Morris, Andrew; Packer, Corinne; Patrick, David; Weese, Scott; Wilson, Kumanan; Wong, Alex; Labonté, Ronald.
Afiliación
  • Ruckert A; Corinne School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON, K1G 3Z7, Canada. aruckert@uottawa.ca.
  • Fafard P; Corinne School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Room 205, Ottawa, ON, K1G 3Z7, Canada. aruckert@uottawa.ca.
  • Hindmarch S; Graduate School of Public and International Affairs, University of Ottawa, 120 University Private, Ottawa, ON, K1N 6N5, Canada.
  • Morris A; Department of Political Science, University of New Brunswick, 3 Bailey Drive, Fredericton, NB, E3B 5A3, Canada.
  • Packer C; Faculty of Medicine, University of Toronto, Medical Sciences Building, 1 King's College Cir, Toronto, ON, M5S 1A8, Canada.
  • Patrick D; Corinne School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand Crescent, Ottawa, ON, K1G 3Z7, Canada.
  • Weese S; School of Population and Public Health, University of British Columbia, East Mall, Vancouver, BC, V6T 1Z3, Canada.
  • Wilson K; Department of Pathobiology, Ontario Veterinary College, University of Guelph, 50 Stone Road East, Guelph, ON, NIG 2W1, Canada.
  • Wong A; Ottawa Hospital, Civic Campus, 1053 Carling Avenue Administrative Services Building, Box 684, Ottawa, ON, K1Y 4E9, Canada.
  • Labonté R; Department of Biology, Carleton University, 1125 Colonel By Drive, Ottawa, ON, K1S 5B6, Canada.
J Public Health Policy ; 41(4): 515-528, 2020 Dec.
Article en En | MEDLINE | ID: mdl-32908184
Antimicrobial resistance (AMR), a central health challenge of the twenty first century, poses substantial population health risks, with deaths currently estimated to be around 700,000 per year globally. The international community has signaled its commitment to exploring and implementing effective policy responses to AMR, with a Global Action Plan on AMR approved by the World Health Assembly in 2015. Major governance challenges could thwart collective efforts to address AMR, along with limited knowledge about how to design effective global governance mechanisms. To identify common ground for more coordinated global actions we conducted a narrative review to map dominant ideas and academic debates about AMR governance. We found two categories of global governance mechanisms: binding and non-binding and discuss advantages and drawbacks of each. We suggest that a combination of non-binding and binding governance mechanisms supported by leading antimicrobial use countries and important AMR stakeholders, and informed by One Health principles, may be best suited to tackle AMR.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Farmacorresistencia Bacteriana / Gestión Clínica / Antiinfecciosos Límite: Humans Idioma: En Revista: J Public Health Policy Año: 2020 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Farmacorresistencia Bacteriana / Gestión Clínica / Antiinfecciosos Límite: Humans Idioma: En Revista: J Public Health Policy Año: 2020 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido