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Open AccessReview

One Health—Its Importance in Helping to Better Control Antimicrobial Resistance

Infectious Diseases and Microbiology, Canberra Hospital, Garran, ACT 2605, Australia
Medical School, Australian National University, Acton ACT 2601, Australia
Department of Population Medicine, University of Guelph, Guelph N1G 2W1, Canada
Author to whom correspondence should be addressed.
Trop. Med. Infect. Dis. 2019, 4(1), 22;
Received: 27 December 2018 / Revised: 18 January 2019 / Accepted: 23 January 2019 / Published: 29 January 2019
(This article belongs to the Special Issue One Health and Zoonoses)
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. Examples are the mass medication of animals with critically important antimicrobials for humans, such as third generation cephalosporins and fluoroquinolones, and the long term, in-feed use of antimicrobials, such colistin, tetracyclines and macrolides, for growth promotion. 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. Pollution from inadequate treatment of industrial, residential and farm waste is expanding the resistome in the environment. Numerous countries and several international agencies have now included a One Health Approach within their action plans to address antimicrobial resistance. Necessary actions include improvements in antimicrobial use, better regulation and policy, as well as improved surveillance, stewardship, infection control, sanitation, animal husbandry, and finding alternatives to antimicrobials. View Full-Text
Keywords: One Health; antibiotics; antimicrobials; antimicrobial resistance; environment; water; infrastructure One Health; antibiotics; antimicrobials; antimicrobial resistance; environment; water; infrastructure
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Collignon, P.J.; McEwen, S.A. One Health—Its Importance in Helping to Better Control Antimicrobial Resistance. Trop. Med. Infect. Dis. 2019, 4, 22.

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