Global Antimicrobial Stewardship with a Focus on Low- and Middle-Income Countries: A position statement for the international society for infectious diseases
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Antimicrobial resistance is a global public health crisis. Antimicrobial Stewardship involves adopting systematic measures to optimize antimicrobial use, decrease unnecessary antimicrobial exposure and to decrease the emergence and spread of resistance. Low- and middle-income countries (LMICs) face a disproportionate burden of antimicrobial resistance and also face challenges related to resource availability. Although challenges exist, the World Health Organization has created a practical toolkit for developing Antimicrobial Stewardship Programs (ASPs) that will be summarized in this article.
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Lack of personnel has been identified as a barrier to antimicrobial stewardship programs.
“Lack of personnel has also been identified as a barrier to antimicrobial stewardship programs.202”
From Antimicrobial Resistance Rates and Surveillance in Sub-Saharan Africa: Where Are We Now? (2022) · cites this paper as [202]
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Cites
Antibiotic resistance threats in the United States, 2019
(U.S.), C. F. D. C. A. P. (2019) · doi:10.15620/cdc:82532 · Cited by 5,782 · see citing works
Global increase and geographic convergence in antibiotic consumption between 2000 and 2015
Klein, E. Y., Van Boeckel, T. P., Martinez, E. M., Pant, S., Gandra, S., Levin, S. A., Goossens, H., & Laxminarayan, R. (2018) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1717295115 · Cited by 3,232 · see citing works
(2016) · Cited by 2,888 · see citing works
Access to effective antimicrobials: a worldwide challenge
Laxminarayan, R., Matsoso, P., Pant, S., Brower, C., Røttingen, J.-A., Klugman, K., & Davies, S. (2016) · The Lancet · doi:10.1016/s0140-6736(15)00474-2 · Cited by 1,465 · see citing works
Troeger, C., Forouzanfar, M. H., Rao, P. C., Khalil, I., Brown, A., Reiner, R. C., Fullman, N., Thompson, R. L., Abajobir, A. A., Ahmed, M. B., et al. (2017) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(17)30276-1 · Cited by 1,421 · see citing works
Schuts, E. C., Hulscher, M., Mouton, J. W., Verduin, C. M., Stuart, J. W. T. C., Overdiek, H. W. P. M., van der Linden, P. D., Natsch, S., Hertogh, C. M. P. M., Wolfs, T. F. W., et al. (2016) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(16)00065-7 · Cited by 772 · see citing works
Laboratory medicine in Africa: a barrier to effective health care
Petti, C. A., Polage, C. R., Quinn, T. C., Ronald, A. R., & Sande, M. A. (2006) · Clinical Infectious Diseases · doi:10.1086/499363 · Cited by 749 · see citing works
Rahal, J. J. (1998) · JAMA · doi:10.1001/jama.280.14.1233 · Cited by 642 · see citing works
Antibiotics in agriculture and the risk to human health: how worried should we be?
Chang, Q., Wang, W., Regev‐Yochay, G., Lipsitch, M., & Hanage, W. P. (2014) · Evolutionary Applications · doi:10.1111/eva.12185 · Cited by 574 · see citing works
Antibiotic stewardship in low- and middle-income countries: the same but different?
Cox, J. A., Vlieghe, E., Mendelson, M., Wertheim, H., Ndegwa, L., Villegas, M. V., Gould, I., & Levy Hara, G. (2017) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2017.07.010 · Cited by 529 · see citing works
Zurovac, D., Sudoi, R. K., Akhwale, W. S., Ndiritu, M., Hamer, D. H., Rowe, A. K., & Snow, R. W. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60783-6 · Cited by 403 · see citing works
Carbapenem-Resistant Acinetobacter baumannii and Enterobacteriaceae in South and Southeast Asia
Hsu, L. Y., Apisarnthanarak, A., Khan, E., Suwantarat, N., Ghafur, A. K., & Tambyah, P. A. (2016) · Clinical Microbiology Reviews · doi:10.1128/cmr.00042-16 · Cited by 342 · see citing works
Self-citationHow to educate prescribers in antimicrobial stewardship practices
Pulcini, C., & Gyssens, I. C. (2013) · Virulence · doi:10.4161/viru.23706 · Cited by 293 · see citing works
An international cross-sectional survey of antimicrobial stewardship programmes in hospitals
Howard, P., Pulcini, C., Hara, G. L., West, R. M., Gould, I. M., Harbarth, S., & Nathwani, D. (2014) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dku497 · Cited by 277 · see citing works
Bantar, C., Sartori, B., Vesco, E., Heft, C., Saul, M., Salamone, F., & Oliva, M. E. (2003) · Clinical Infectious Diseases · doi:10.1086/375818 · Cited by 254 · see citing works
Impact of a rotating empiric antibiotic schedule on infectious mortality in an intensive care unit
Raymond, D. P., Pelletier, S. J., Crabtree, T. D., Gleason, T. G., Hamm, L. L., Pruett, T. L., & Sawyer, R. G. (2001) · Critical Care Medicine · doi:10.1097/00003246-200106000-00001 · Cited by 234 · see citing works
Donkor, E. S., Tetteh-Quarcoo, P. B., Nartey, P., & Agyeman, I. O. (2012) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph9103519 · Cited by 225 · see citing works
Thriemer, K., Katuala, Y., Batoko, B., Alworonga, J.-P., Devlieger, H., Geet, C. V., Ngbonda, D., & Jacobs, J. A. (2013) · PLoS ONE · doi:10.1371/journal.pone.0055495 · Cited by 212 · see citing works
Monitoring Antibiotic Use and Residue in Freshwater Aquaculture for Domestic Use in Vietnam
Kim, Đ. P., Chu, J., Do, N. T. T., Brose, F., Degand, G., Delahaut, P., Pauw, E. D., Douny, C., Nguyen, K. V., Ton, V. D., et al. (2015) · EcoHealth · doi:10.1007/s10393-014-1006-z · Cited by 186 · see citing works
Abera, B., Kibret, M., & Mulu, W. (2014) · BMC Pharmacology and Toxicology · doi:10.1186/2050-6511-15-26 · Cited by 176 · see citing works
Changes in the use of antimicrobials and the effects on productivity of swine farms in Denmark
Aarestrup, F. M., Jensen, V. F., Emborg, H., Jacobsen, E., & Wegener, H. C. (2010) · American Journal of Veterinary Research · doi:10.2460/ajvr.71.7.726 · Cited by 174 · see citing works
García, C., Llamocca, L. P., García, K., Jiménez, A., Samalvides, F., Gotuzzo, E., & Jacobs, J. A. (2011) · BMC Clinical Pharmacology · doi:10.1186/1472-6904-11-18 · Cited by 164 · see citing works
Hand hygiene in low- and middle-income countries
Loftus, M. J., Guitart, C., Tartari, E., Stewardson, A. J., Amer, F. A., Bellissimo‐Rodrigues, F., Lee, Y. F., Mehtar, S., Sithole, B. L., & Pittet, D. (2019) · International Journal of Infectious Diseases · doi:10.1016/j.ijid.2019.06.002 · Cited by 154 · see citing works
Dijck, C. V., Vlieghe, E., & Cox, J. (2018) · Bulletin of the World Health Organization · doi:10.2471/blt.17.203448 · Cited by 153 · see citing works
Buising, K. L., Thursky, K., Robertson, M. B., Black, J., Street, A., Richards, M. J., & Brown, G. V. (2008) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dkn218 · Cited by 151 · see citing works
(2016) · Clinical Microbiology Reviews · doi:10.1128/cmr.masthead.30-1 · Cited by 145 · see citing works
Laboratory medicine in low-income and middle-income countries: progress and challenges
Nkengasong, J. N., Yao, K., & Onyebujoh, P. (2018) · The Lancet · doi:10.1016/s0140-6736(18)30308-8 · Cited by 140 · see citing works
Wilkinson, A., Ebata, A., & MacGregor, H. (2018) · Antibiotics · doi:10.3390/antibiotics8010002 · Cited by 136 · see citing works
Larsson, M., Kronvall, G., Chúc, N. T. K., Karlsson, I., Lager, F., Hanh, H. D., Tomson, G. B., & Falkenberg, T. (2000) · Tropical Medicine & International Health · doi:10.1046/j.1365-3156.2000.00630.x · Cited by 127 · see citing works
High mortality of infant bacteraemia clinically indistinguishable from severe malaria
Evans, J. A., Adusei, A., Timmann, C., May, J., Mack, D., Agbenyega, T., Horstmann, R. D., & Frimpong, E. J. (2004) · QJM · doi:10.1093/qjmed/hch093 · Cited by 123 · see citing works
Involving antimicrobial stewardship programs in COVID-19 response efforts: All hands on deck
Stevens, M., Patel, P., & Nori, P. (2020) · Infection Control and Hospital Epidemiology · doi:10.1017/ice.2020.69 · Cited by 108 · see citing works
Self-citationImpact of antibiotic stewardship programmes in Asia: a systematic review and meta-analysis
Lee, C. F., Cowling, B. J., Feng, S., Aso, H., Wu, P., Fukuda, K., & Seto, W. (2017) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dkx492 · Cited by 104 · see citing works
Wasserman, S. A., Potgieter, S., Shoul, E., Constant, D., Stewart, A., Mendelson, M., & Boyles, T. H. (2017) · South African Medical Journal · doi:10.7196/samj.2017.v107i5.12370 · Cited by 96 · see citing works
Honda, H., Ohmagari, N., Tokuda, Y., Mattar, C., & Warren, D. K. (2017) · Clinical Infectious Diseases · doi:10.1093/cid/cix017 · Cited by 96 · see citing works
Dromigny, J. A., Nabeth, P., Juergens-Behr, A., & Perrier-Gros-Claude, J. D. (2005) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dki158 · Cited by 90 · see citing works
Patterns of antimicrobial use and antimicrobial resistance among healthy children in Bolivia
Bartoloni, A., Cutts, F. T., Leoni, S., Austin, C. C., Mantella, A., Guglielmetti, P., Roselli, M., Salazar, E., & Paradisi, F. (1998) · Tropical Medicine & International Health · doi:10.1046/j.1365-3156.1998.00201.x · Cited by 87 · see citing works
Infection Control in Limited Resources Countries: Challenges and Priorities
Vilar‐Compte, D., Camacho-Ortíz, A., & Ponce‐de‐León, S. (2017) · Current Infectious Disease Reports · doi:10.1007/s11908-017-0572-y · Cited by 85 · see citing works
Preventing Hospital-acquired Infections in Low-income and Middle-income Countries
Bardossy, A. C., Zervos, J., & Zervos, M. (2016) · Infectious Disease Clinics of North America · doi:10.1016/j.idc.2016.04.006 · Cited by 74 · see citing works
Implementation of quality management for clinical bacteriology in low-resource settings
Barbé, B., Yansouni, C. P., Affolabi, D., & Jacobs, J. A. (2017) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2017.05.007 · Cited by 70 · see citing works
Barbé, B., Verdonck, K., Mukendi, D., Lejon, V., Kalo, J.-R. L., Alirol, E., Gillet, P., Horié, N. S., Ravinetto, R., Bottieau, E., et al. (2016) · PLoS neglected tropical diseases · doi:10.1371/journal.pntd.0005053 · Cited by 65 · see citing works
Boyles, T. H., Naicker, V., Rawoot, N., Raubenheimer, P. J., Eick, B., & Mendelson, M. (2017) · South African Medical Journal · doi:10.7196/samj.2017.v107i2.12067 · Cited by 63 · see citing works
Watson, J., D’Mello-Guyett, L., Flynn, E. F., Falconer, J., Mills, J. E., Prual, A., Hunter, P. R., Allegranzi, B., Montgomery, M., & Cumming, O. (2019) · BMJ Global Health · doi:10.1136/bmjgh-2019-001632 · Cited by 60 · see citing works
Cook, P., Catrou, P. G., Gooch, M. D., & Holbert, D. (2006) · Journal of Hospital Infection · doi:10.1016/j.jhin.2006.06.033 · Cited by 44 · see citing works
Antimicrobial stewardship for acute-care hospitals: An Asian perspective
Apisarnthanarak, A., Kwa, A. L., Chiu, C., Kumar, S., Thư, L. T. A., Tan, B. H., Zong, Z., Chuang, Y. C., Karuniawati, A., Tayzon, M. F., et al. (2018) · Infection Control and Hospital Epidemiology · doi:10.1017/ice.2018.188 · Cited by 43 · see citing works
Self-citationLee, C., Kwa, A. L., Apisarnthanarak, A., Feng, J., Gluck, E. H., Ito, A., Karuniawati, A., Periyasamy, P. R., Pratumvinit, B., Sharma, J., et al. (2020) · Clinical Chemistry and Laboratory Medicine (CCLM) · doi:10.1515/cclm-2019-1122 · Cited by 38 · see citing works
Self-citationPassing the baton to pharmacists and nurses: New models of antibiotic stewardship for South Africa?
Brink, A. J., van den Bergh, D., Mendelson, M., & Richards, G. (2016) · South African Medical Journal · doi:10.7196/samj.2016.v106i10.11448 · Cited by 28 · see citing works
Correlation of antibiotic use and antimicrobial resistance in Pratumthani, Thailand, 2000 to 2006
Apisarnthanarak, A., & Mundy, L. M. (2008) · American Journal of Infection Control · doi:10.1016/j.ajic.2007.10.022 · Cited by 17 · see citing works
Self-citationHaque, M., Roos, N. A. C., & Bakar, M. (2019) · Advances in Human Biology · doi:10.4103/aihb.aihb_42_19 · Cited by 10 · see citing works
Gap analysis on antimicrobial stewardship program in central Thailand
Apisarnthanarak, A., Jantarathaneewat, K., & Weber, D. J. (2019) · Infection Control and Hospital Epidemiology · doi:10.1017/ice.2019.185 · Cited by 7 · see citing works
Self-citation
Flagged first, then by citations
1 of the 50 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- Geneva: World Health Organization. Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries: a WHO practical toolkit. World Health Organization; 2019. Licence: CC BY-NC-SA 3.0 IGO. PMC8210188 34222945
- Nkengasong J.N. Yao K. Onyebujoh P. Countries: Progress and Challenges Lancet. 391 10133 2018 1873 1875 29550031 PMC5962422
Cited by
Sorted by citations
An Overview of the Recent Advances in Antimicrobial Resistance
Oliveira, M. T. D. S., Antunes, W., MOTA, S. R. F., Madureira-Carvalho, Á., Dinis‐Oliveira, R. J., & da Silva, D. D. (2024) · Microorganisms · doi:10.3390/microorganisms12091920 · Cited by 295 · see citing works
Antimicrobial Resistance Rates and Surveillance in Sub-Saharan Africa: Where Are We Now?
Kariuki, S., Kering, K., Wairimu, C., Onsare, R., & Mbae, C. (2022) · Infection and Drug Resistance · doi:10.2147/idr.s342753 · Cited by 231 · see citing works
Association Between Antimicrobial Stewardship Programs and Antibiotic Use Globally
Ya, K. Z., Win, P. T. N., Bielicki, J. A., Lambiris, M. J., & Fink, G. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.53806 · Cited by 211 · see citing works
Godman, B., Egwuenu, A. J., Wesangula, E., Schellack, N., Kalungia, A. C., Tiroyakgosi, C., Kgatlwane, J., Mwita, J. C., Okwen, P., Niba, L. L., et al. (2022) · Expert Opinion on Drug Safety · doi:10.1080/14740338.2022.2106368 · Cited by 147 · see citing works
Self-citationSharma, A., Singh, A., Dar, M. A., Kaur, R. J., Charan, J., Iskandar, K., Haque, M., Murti, K., Ravichandiran, V., & Dhingra, S. (2021) · Journal of Infection and Public Health · doi:10.1016/j.jiph.2021.12.008 · Cited by 120 · see citing works
Global Strategies to Combat Antimicrobial Resistance: A One Health Perspective
Mudenda, S., Chabalenge, B., Daka, V., Mfune, R. L., Salachi, K. I., Mohamed, S., Mufwambi, W., Kasanga, M., & Matafwali, S. K. (2023) · Pharmacology & Pharmacy · doi:10.4236/pp.2023.148020 · Cited by 116 · see citing works
Ansari, S., Hays, J. P., Kemp, A. H., Okechukwu, R. C., Murugaiyan, J., Ekwanzala, M. D., Alvarez, M. J. R., Satyaseela, M. P., Iwu, C. D., Ballesté‐Delpierre, C., et al. (2021) · JAC-Antimicrobial Resistance · doi:10.1093/jacamr/dlab038 · Cited by 104 · see citing works
Zakhour, J., Haddad, S. F., Kerbage, A., Wertheim, H. F. L., Tattevin, P., Voß, A., Ünal, S., Ouédraogo, A., & Kanj, S. S. (2023) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2023.106816 · Cited by 91 · see citing works
Overuse of medications in low- and middle-income countries: a scoping review
Albarqouni, L., Palagama, S., Chai, J., Sivananthajothy, P., Pathirana, T., Bakhit, M., Arab‐Zozani, M., Ranakusuma, R. W., Cardona, M., Scott, A. M., et al. (2023) · Bulletin of the World Health Organization · doi:10.2471/blt.22.288293 · Cited by 75 · see citing works
Atif, M., Ihsan, B., Malik, I., Ahmad, N., Saleem, Z., Sehar, A., & Babar, Z. (2021) · BMC Infectious Diseases · doi:10.1186/s12879-021-06043-5 · Cited by 69 · see citing works
COVID-19 and antimicrobial stewardship: lessons learned, best practices, and future implications
Pierce, J. W., & Stevens, M. (2021) · International Journal of Infectious Diseases · doi:10.1016/j.ijid.2021.10.001 · Cited by 68 · see citing works
Self-citationMorgado‐Gamero, W., Parody, A., Medina-Altahona, J., Rodríguez-Villamizar, L. A., & Castañeda, D. M. A. (2021) · Environmental Pollution · doi:10.1016/j.envpol.2021.118037 · Cited by 54 · see citing works
Al-Rashdi, A., Al-Maani, A. S., Wahaibi, A. S. A., Alqayoudhi, A., Al‐Jardani, A., & Al-Abri, S. (2021) · Journal of Fungi · doi:10.3390/jof7010031 · Cited by 52 · see citing works
Ogoina, D., Iliyasu, G., Kwaghe, V., Otu, A. A., Akase, I. E., Adekanmbi, O. A., Dalhat, M., Iroezindu, M., Aliyu, S., Oyeyemi, A. S., et al. (2021) · Antimicrobial Resistance and Infection Control · doi:10.1186/s13756-021-00940-9 · Cited by 52 · see citing works
Chen, Y., Fu, X., Ou, Z., Jiang, L., Lin, S., Wu, Y., Wang, X., Deng, Y., & Sun, Y. (2023) · npj Biofilms and Microbiomes · doi:10.1038/s41522-023-00459-4 · Cited by 46 · see citing works
Accelerating antibiotic access and stewardship: a new model to safeguard public health
Cohn, J., Mendelson, M., Kanj, S. S., Shafiq, N., Boszczowski, Í., & Laxminarayan, R. (2024) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(24)00070-7 · Cited by 46 · see citing works
Villanueva, P., Coffin, S. E., Mekasha, A., McMullan, B., Cotton, M. F., & Bryant, P. A. (2022) · Pediatric Infectious Disease Journal · doi:10.1097/inf.0000000000003318 · Cited by 47 · see citing works
Jiang, Y., Yang, R.-S., Lin, Y., Xin, W., Zhou, H.-Y., Wang, F., Zhang, Q., & Lin, L. (2023) · Frontiers in Microbiology · doi:10.3389/fmicb.2023.1120263 · Cited by 46 · see citing works
Hadi, H. A., Eltayeb, F., Balushi, S. A., Daghfal, J., Ahmed, F., & Mateus, C. (2024) · Antibiotics · doi:10.3390/antibiotics13030253 · Cited by 38 · see citing works
Saleem, Z., Mekonnen, B. A., Orubu, E. S. F., Islam, M. A., Phuong, T. N. T., Ubaka, C. M., Buma, D. C., Do, N. T. T., Sant, Y., Sono, T. M., et al. (2025) · Expert Review of Anti-infective Therapy · doi:10.1080/14787210.2025.2477198 · Cited by 38 · see citing works
Anthropogenic Activities and the Problem of Antibiotic Resistance in Latin America: A Water Issue
Domínguez, D. C., Chacón, L., & Wallace, D. (2021) · Water · doi:10.3390/w13192693 · Cited by 37 · see citing works
Tarrant, C., Colman, A. M., Jenkins, D. R., Chattoe‐Brown, E., Perera, N., Mehtar, S., Nakkawita, D., Bolscher, M., & Krockow, E. M. (2021) · Antibiotics · doi:10.3390/antibiotics10010094 · Cited by 36 · see citing works
Silvester, R., Madhavan, A., Kokkat, A., Parolla, A., Adarsh, B. M., Harikrishnan, M., & Abdulla, M. H. (2021) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2021.149859 · Cited by 35 · see citing works
Ramzan, K., Shafiq, S., Raees, I., Mustafa, Z. U., Salman, M., Khan, A. H., Meyer, J. C., & Godman, B. (2022) · Antibiotics · doi:10.3390/antibiotics11060789 · Cited by 34 · see citing works
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Vijay, S., Ramasubramanian, V., Bansal, N., Ohri, V. C., & Walia, K. (2023) · Bulletin of the World Health Organization · doi:10.2471/blt.22.288797 · Cited by 33 · see citing works
Antimicrobial stewardship from a One Health perspective
James, R. S., Hardefeldt, L. Y., Ierano, C., Charani, E., Dowson, L., Elkins, S., & Thursky, K. (2025) · Nature Reviews Microbiology · doi:10.1038/s41579-025-01233-3 · Cited by 37 · see citing works
Qiu, Y., Ferreira, J. P., Ullah, R. W., Flanagan, P., Zaheer, M. U., Tahir, M. F., Alam, J., Hoet, A. E., Song, J., & Akram, M. (2024) · Antibiotics · doi:10.3390/antibiotics13030206 · Cited by 29 · see citing works
Ya, K. Z., Lambiris, M. J., Levine, G. A., Tediosi, F., & Fink, G. (2024) · BMC Public Health · doi:10.1186/s12889-024-19542-2 · Cited by 29 · see citing works
Al-Maani, A. S., Wahaibi, A. S. A., Al-Zadjali, N., Al-Sooti, J., AlHinai, M., Badawi, A. A., Saidi, A. A., AlZadjali, N., El‐Shoubary, W., Al-Harthi, K., et al. (2022) · Journal of Infection and Public Health · doi:10.1016/j.jiph.2022.01.017 · Cited by 29 · see citing works
Doll, M. E., Marra, A. R., Apisarnthanarak, A., Al-Maani, A. S., Abbas, S. M., & Rosenthal, V. (2020) · International Journal of Infectious Diseases · doi:10.1016/j.ijid.2020.10.039 · Cited by 29 · see citing works
Self-citationGholizadeh, A., Khiadani, M., Foroughi, M., Alizadeh-Siuki, H., & Mehrfar, H. (2023) · Journal of Infection and Public Health · doi:10.1016/j.jiph.2023.09.017 · Cited by 28 · see citing works
Malūkaitė, D., Grybaitė, B., Vaickelionienė, R., Vaickelionis, G., Sapijanskaitė-Banevič, B., Kavaliauskas, P., & Mickevičius, V. (2021) · Molecules · doi:10.3390/molecules27010074 · Cited by 27 · see citing works
Antibiotic resistance and the COVID‐19 pandemic: A dual crisis with complex challenges in LMICs
Gulumbe, B. H., Sahal, M. R., Abdulrahim, A., Faggo, A. A., Yusuf, Z. M., Sambo, K. H., Usman, N. I., Bagwai, M. A., Muhammad, W. N., Adamu, A., et al. (2023) · Health Science Reports · doi:10.1002/hsr2.1566 · Cited by 26 · see citing works
Vries, E. D., Johanson, Y., Willems, B., Bedeker, W., Ras, T., Coetzee, R., Tembo, Y., & Brink, A. J. (2022) · South African Medical Journal · doi:10.7196/samj.2022.v112i10.16397 · Cited by 26 · see citing works
Restrepo-Arbeláez, N., García-Betancur, J. C., Pallares, C., & Villegas, M. V. (2023) · Antibiotics · doi:10.3390/antibiotics12081342 · Cited by 26 · see citing works
Antibiotic Prescribing Patterns in Paediatric Primary Care in Italy: Findings from 2012–2018
Barbieri, E., Chiara, C. D., Costenaro, P., Cantarutti, A., Giaquinto, C., Hsia, Y., & Donà, D. (2021) · Antibiotics · doi:10.3390/antibiotics11010018 · Cited by 25 · see citing works
Flare of the silent pandemic in the era of the COVID-19 pandemic: Obstacles and opportunities
Rayan, R. Α. (2023) · World Journal of Clinical Cases · doi:10.12998/wjcc.v11.i6.1267 · Cited by 27 · see citing works
Raju, R., Srinivas, S. C., Siddalingegowda, S. M., Vaidya, R., Gharat, M., & Kumar, T. M. P. (2024) · Journal of Pharmacy & Pharmaceutical Sciences · doi:10.3389/jpps.2024.12721 · Cited by 25 · see citing works
Shelke, Y. P., Bankar, N. J., Bandre, G. R., Hawale, D., & Dawande, P. P. (2023) · Cureus · doi:10.7759/cureus.44666 · Cited by 23 · see citing works
Sefah, I. A., Denoo, E. Y., Bangalee, V., Kurdi, A. B., Sneddon, J., & Godman, B. (2022) · JAC-Antimicrobial Resistance · doi:10.1093/jacamr/dlac102 · Cited by 22 · see citing works
Huong, V. T. L., Ngan, T. T. D., Thao, H. P., Quang, L. M., Hanh, T. T. T., Hiền, N. T. T., Duc, T., Hai, V. V., Duc, C. M., Em, V. T. H. D., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2021-053343 · Cited by 20 · see citing works
Fischer, N., Maex, M., Mattheus, W., den Bossche, A. V., Cauteren, D. V., Laisnez, V., Hammami, N., & Ceyssens, P. (2021) · Journal of Antimicrobial Chemotherapy · doi:10.1093/jac/dkab377 · Cited by 21 · see citing works
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Lakoh, S., Bawoh, M., Lewis, H. B., Jalloh, I. A., Thomas, C., Barlatt, S. H. A., Jalloh, A. T., Deen, G. F., Russell, J. B. W., Kabba, M., et al. (2023) · Antibiotics · doi:10.3390/antibiotics12030424 · Cited by 19 · see citing works
Lakoh, S., John-Cole, V., Luke, R. D. C., Bell, N. V. T., Russell, J. B. W., Mustapha, A. M., Barrie, U., Abiri, O. T., Coker, J. M., Kamara, M. N., et al. (2023) · IJID Regions · doi:10.1016/j.ijregi.2023.02.004 · Cited by 17 · see citing works
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Lakoh, S., Williams, C. E. E., Sevalie, S., Russell, J. B., Conteh, S. K., Kanu, J. S., Barrie, U., Deen, G. F., Maruta, A., Sesay, D. K. D., et al. (2023) · BMC Infectious Diseases · doi:10.1186/s12879-023-08517-0 · Cited by 15 · see citing works
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Ya, K. Z., Patel, J. V., & Fink, G. (2025) · BMJ Public Health · doi:10.1136/bmjph-2023-000511 · Cited by 13 · see citing works
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O'Malley, K. N., McNamara, P. J., Marshall, C. W., LaMartina, E. L., Lam, T. “., Ali, N., & McDonald, W. (2024) · Journal of Hazardous Materials · doi:10.1016/j.jhazmat.2024.133923 · Cited by 11 · see citing works
Broom, J. K., Broom, A. F., Anstey, C., Kenny, K., Young, S., Grieve, D. A., Sowden, D., Jangam, A., Henderson, A., Melon, A., et al. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-046685 · Cited by 11 · see citing works
Guevara, Y. A. S., Santos, M. H. C., Gomes, F. Í. R., Sheheryar, S., Mesquita, F. P., & Souza, P. F. N. (2023) · Microbial Pathogenesis · doi:10.1016/j.micpath.2023.106108 · Cited by 11 · see citing works
Văcărean-Trandafir, I.-C., Amărandi, R.-M., Ivanov, I. C., Dragos, L. M., Mențel, M., Iacob, Ș., Mușină, A.-M., Bărgăoanu, E.-R., Roată, C. E., Morărașu, Ș., et al. (2025) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2024.1468645 · Cited by 11 · see citing works
Liang, S., Wang, X., Zheng, T., Liu, M., Li, C., Liu, L., & Zhang, G. (2025) · Journal of Agricultural and Food Chemistry · doi:10.1021/acs.jafc.5c03079 · Cited by 11 · see citing works
Shoaib, M., Satti, L., Hussain, A., Khursheed, N., Sarwar, S., & Shah, A. H. (2021) · Cureus · doi:10.7759/cureus.16777 · Cited by 11 · see citing works
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Shanta, A. S., Islam, M. N., Asad, M. A., Akter, K., Habib, M. B., Hossain, M. J., Nahar, S., Godman, B., & Islam, S. (2024) · Microorganisms · doi:10.3390/microorganisms12081589 · Cited by 10 · see citing works
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Zujbe, Z., Tabassum, N., Kibria, G., Ahmed, A., Chowdhury, M. M. H., & Hossain, M. S. (2025) · Discover Public Health · doi:10.1186/s12982-025-00665-9 · Cited by 10 · see citing works
Raab, M., Pfadenhauer, L. M., Doumbouya, D., & Froeschl, G. (2022) · PLoS ONE · doi:10.1371/journal.pone.0262084 · Cited by 9 · see citing works
Wagstaff, D., Amuasi, J., Arfin, S., Aryal, D., Nor, M. B. M., Bonney, J., Dondorp, A. M., Dongelmans, D. A., Dullawe, L., Fazla, F., et al. (2025) · Implementation Science · doi:10.1186/s13012-024-01413-4 · Cited by 8 · see citing works
Harris, L., Bongers, A., Yan, J., Francis, J. R., Marr, I., Lake, S. J., & Martins, S. (2021) · Antibiotics · doi:10.3390/antibiotics10121468 · Cited by 9 · see citing works
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Moyano, L. M., León-Jiménez, F., Cavalcanti, S., & Ocaña, V. (2021) · Atención Primaria · doi:10.1016/j.aprim.2021.102172 · Cited by 8 · see citing works
Corcione, S., Shbaklo, N., Vicentini, C., Corradi, A., Scabini, S., Pinna, S. M., Tarozzo, A., Curtoni, A., Cattel, F., Cavallo, R., et al. (2021) · Infection Prevention in Practice · doi:10.1016/j.infpip.2021.100187 · Cited by 8 · see citing works
Yuan, H., Xu, J., Wang, Y., Shi, L., Dong, Y., Liu, F., Long, J., Duan, G., Jin, Y., Chen, S., et al. (2024) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2024.175357 · Cited by 7 · see citing works
Anugulruengkitt, S., Jupimai, T., Wongharn, P., & Puthanakit, T. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-092509 · Cited by 7 · see citing works
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Wade, T., Roberts, N. W., Ban, J.-W., Waweru-Siika, W., Winston, H., Williams, V., Heneghan, C. J., & Onakpoya, I. (2022) · Journal of Hospital Infection · doi:10.1016/j.jhin.2022.09.008 · Cited by 6 · see citing works
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Doshi, J., Ngoc, Y. P., Ma, T. T., Duong, L. T., Pham, V. T. T., Vu, G. V., James, R. S., Li, Q., Van, Q. T., Ái, N. T., et al. (2025) · The Lancet Regional Health - Western Pacific · doi:10.1016/j.lanwpc.2025.101620 · Cited by 5 · see citing works
Undurraga, E. A., Peters, A., Arias, C. A., & Munita, J. M. (2023) · The Lancet Regional Health - Americas · doi:10.1016/j.lana.2023.100596 · Cited by 5 · see citing works
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Farsakoury, R., Sartelli, M., & Zughaier, S. M. (2025) · Surgery in Practice and Science · doi:10.1016/j.sipas.2025.100315 · Cited by 4 · see citing works
Banerjee, T., Mishra, K., Rakshit, P., Sharma, S., Garg, R., Das, P., Bhattacharjee, A., Kumar, S. H., Kumar, R., & Anupurba, S. (2026) · Microbial Drug Resistance · doi:10.1177/10766294261426703 · Cited by 4 · see citing works
Barón, F. J., Loudet, C., Cornistein, W., Suárez-Anzorena, I., Arias-López, P., Balasini, C., Cabana, L., Cunto, E., Corral, P. R. J., Gibbons, L., et al. (2024) · BMJ Quality & Safety · doi:10.1136/bmjqs-2024-017069 · Cited by 4 · see citing works
Self-citationGustafsson, L., Nazzal, Z. A. S., Wiskin, C., Belkebir, S., Sayeed, S., & Wood, A. (2024) · JAC-Antimicrobial Resistance · doi:10.1093/jacamr/dlae198 · Cited by 4 · see citing works
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Thakar, F., Vasava, K., Bagtharia, S., Kanani, A., Chandra, V., Patel, B., & Mandaliya, D. K. (2025) · Research in Veterinary Science · doi:10.1016/j.rvsc.2025.105546 · Cited by 4 · see citing works
Hawkins, R. L., Michael, P., Byrne-Davis, L. M. T., Bull, E. R., Skone-James, R., & Hart, J. (2022) · Applied Psychology Health and Well-Being · doi:10.1111/aphw.12421 · Cited by 4 · see citing works
Scholz, O. M., Krüger, N., Betzold, E., Bader, J., Thul, N., & Papan, C. (2023) · Antimicrobial Stewardship & Healthcare Epidemiology · doi:10.1017/ash.2023.423 · Cited by 4 · see citing works
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Alsabri, M., Oboli, V. N., Rath, S., Tsoi, V., Miranda, J. C. D. C., Alagarswamy, K., & Shehada, W. (2025) · Current Emergency and Hospital Medicine Reports · doi:10.1007/s40138-025-00315-z · Cited by 9 · see citing works
Okere, A. N., Trimble, M. L., Sanogo, V., Smith, U. D., Brown, C., & Buxbaum, S. G. (2022) · INNOVATIONS in pharmacy · doi:10.24926/iip.v13i3.4997 · Cited by 3 · see citing works
Sinha, I., & Dayama, S. (2023) · Indian Journal of Medical Ethics · doi:10.20529/ijme.2023.072 · Cited by 3 · see citing works
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Zhou, Y., & Wan, E. (2024) · Sustainable Cities and Society · doi:10.1016/j.scs.2024.106117 · Cited by 3 · see citing works
Roberti, J. E., Barón, F. J., Ini, N., Guglielmino, M., Rodríguez, A. P., Echave, C., Falaschi, A., Rodriguez, V. E., García‐Elorrio, E., & Alonso, J. P. (2025) · Pediatric Quality and Safety · doi:10.1097/pq9.0000000000000788 · Cited by 3 · see citing works
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Keck, J. M., Schultz, J., & Viteri, A. (2025) · Antibiotics · doi:10.3390/antibiotics14090862 · Cited by 3 · see citing works
Self-reported beta-lactam allergy in government and private hospitals in Cape Town, South Africa
Day, C., Deetlefs, M., O’Brien, A., Smith, J., Boyd, M., Embling, N., Patel, S., Moody, K., Ramabele, T., Budge, A., et al. (2023) · South African Medical Journal · doi:10.7196/samj.2023.v113i2.16760 · Cited by 3 · see citing works
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Graham, D. Y., & Lee, Y. (2024) · Gut · doi:10.1136/gutjnl-2024-333684 · Cited by 3 · see citing works
Hannan, T. B., Paul, S., Khan, M. M., Bhattacharjee, B., Abedin, M. Z., Tarafder, P., Al-Amin, T. M., Amin, M. A. A., Rahman, M. S., & Chowdhury, F. R. (2024) · IJID Regions · doi:10.1016/j.ijregi.2024.100381 · Cited by 2 · see citing works
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Hayat, E., Dargahi, H., Jaafaripooyan, E., Neyazi, N., & Mosadeghrad, A. M. (2025) · BMC Public Health · doi:10.1186/s12889-025-23844-4 · Cited by 2 · see citing works
- Authors
- Pierce, J., Apisarnthanarak, A., Schellack, N., Cornistein, W., Maani, A. A., Adnan, S., & Stevens, M. P.
- Affiliations
- Virginia Commonwealth University (US)
- Thammasat University Hospital (TH)
- Sefako Makgatho Health Sciences University (ZA)
- Hospital Universitario Austral (AR)
- Hospital Sungai Buloh (MY)
- Corresponding author
- Pierce, Jacob
- Venue
- International Journal of Infectious Diseases
- Publisher
- Elsevier BV
- Published
- 2020-07
- Volume
- 96
- Pages
- 621-629
- ISSN
- 1201-9712 (ISSN-L)
- PMC
- PMC7271868
- OpenAlex
- W3033738020
- Cited by
- 154
- References
- 50
- Citations by year
- 2026: 17 · 2025: 32 · 2024: 28 · 2023: 28 · 2022: 22 · 2021: 25 · 2020: 2
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Infectious Diseases (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
- Health Sciences › Medicine › Surgery › Surgical site infection prevention
- Keywords
- antimicrobial stewardship, antimicrobial resistance, low- and middle-income countries, antimicrobial stewardship programs, resource-limited settings, antibiotic use optimization, global public health
- MeSH terms
- Antimicrobial Stewardship, Anti-Bacterial Agents, Bacterial Infections, Developing Countries, Humans, Poverty, World Health Organization
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