Integrated surveillance for antimicrobial resistance: challenges and directions

Summary

Integrated surveillance for antimicrobial use and antimicrobial resistance in the context of One Health is surveillance based on systemic, cross-sectoral, multi-stakeholder perspectives that inform decisions on actions to reduce antimicrobial resistance, with the aim of keeping antimicrobial agents effective for future generations. Despite broad advocacy, this type of surveillance is mainly in place in high-income countries. This article gives an overview of the state of knowledge on integrated surveillance for antimicrobial use and resistance at global, regional and national levels, presents its value proposition, provides specific examples, and discusses gaps, challenges and future directions.

Keywords

Antibiotics – Cross-sectoral – Integration – Monitoring – One Health – Resistance – Surveillance systems.