EPI-Net One Health reporting guideline for antimicrobial consumption and resistance surveillance data: a Delphi approach

EPI-Net One Health consensus working group

Research output: Contribution to journalReview articlepeer-review

Abstract

Strategic and standardised approaches to analysis and reporting of surveillance data are essential to inform antimicrobial resistance (AMR) mitigation measures, including antibiotic policies. Targeted guidance on linking full-scale AMR and antimicrobial consumption (AMC)/antimicrobial residues (AR) surveillance data from the human, animal, and environmental sectors is currently needed. This paper describes the initiative whereby a multidisciplinary panel of experts (56 from 20 countries—52 high income, 4 upper middle or lower income), representing all three sectors, elaborated proposals for structuring and reporting full-scale AMR and AMC/AR surveillance data across the three sectors. An evidence-supported, modified Delphi approach was adopted to reach consensus among the experts for dissemination frequency, language, and overall structure of reporting; core elements and metrics for AMC/AR data; core elements and metrics for AMR data. The recommendations can support multisectoral national and regional plans on antimicrobials policy to reduce resistance rates applying a One Health approach.

Original languageEnglish
Article number100563
JournalThe Lancet Regional Health - Europe
Volume26
DOIs
StatePublished - Mar 2023

Keywords

  • Antibiotic policy
  • Antimicrobial consumption
  • Antimicrobial resistance
  • One Health
  • Surveillance

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