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. 2024 Dec 18;6(6):dlae187.
doi: 10.1093/jacamr/dlae187. eCollection 2024 Dec.

Leveraging local public health to advance antimicrobial stewardship (AMS) implementation and mitigate antimicrobial resistance (AMR): a scoping review

Valerie Leung  1   2 , Diane Ashiru-Oredope  3   4 , Lauri Hicks  5 , Sarah Kabbani  5 , Mehdi Aloosh  6   7 , Irene E Armstrong  8   9 , Kevin A Brown  1   9 , Nick Daneman  1   10   11 , Kevin Lam  1 , Hamidah Meghani  1 , Mahad Nur  8 , Kevin L Schwartz  1   9   12 , Bradley J Langford  1   9   13
Affiliations

Leveraging local public health to advance antimicrobial stewardship (AMS) implementation and mitigate antimicrobial resistance (AMR): a scoping review

Valerie Leung et al. JAC Antimicrob Resist. .

Abstract

Objective: To explore the role of local public health organisations in antimicrobial stewardship (AMS) and antimicrobial resistance (AMR) surveillance.

Methods: A scoping review was conducted. Peer-reviewed and grey literature from countries within the organisation for economic co-operation and development was searched between 1999 and 2023 using the concepts of local public health, AMR and AMS. Thematic analysis was performed to identify themes.

Results: There were 63 citations illustrating 122 examples of AMS and AMR surveillance activities with local public health involvement. Common AMS activities (n = 105) included healthcare worker education (n = 22), antimicrobial use (AMU) evaluation (n = 21), patient/public education (n = 17), clinical practice guidelines (n = 10), and antibiograms (n = 10). Seventeen citations described local public health activities in AMR surveillance; the majority focussed on communicable diseases (n = 11) and/or AMR organisms (n = 6).

Conclusions: Local public health capabilities should be leveraged to advance high-impact activities to mitigate AMR, particularly in the areas of knowledge translation/mobilisation, optimising surveillance and establishing strategic collaborations.

Policy implications: Future work should focus on better understanding barriers and facilitators, including funding, to local public health participation in these activities.

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Figures

Figure 1.
Figure 1.
PRISMA diagram. Note: MEDLINE, Embase, Global Health and International Pharmaceutical Abstracts were searched on 24 November 2023. Grey literature searches were conducted between 30 November and 12 December 2023.
Figure 2.
Figure 2.
Participation of local public health organisations in AMS activities. Note: MEDLINE, Embase, Global Health and International Pharmaceutical Abstracts were searched on 24 November 2023. Grey literature searches were conducted between 30 November and 12 December 2023.
Figure 3.
Figure 3.
Roles of local public health organisations in AMS and AMR surveillance activities. Note: MEDLINE, Embase, Global Health and International Pharmaceutical Abstracts were searched on 24 November 2023. Grey literature searches were conducted between 30 November and 12 December 2023.
See this image and copyright information in PMC

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