Global Antimicrobial Stewardship with a Focus on Low- and Middle-Income Countries: A position statement for the international society for infectious diseases

Antibiotic resistance threats in the United States, 2019

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Global increase and geographic convergence in antibiotic consumption between 2000 and 2015

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Access to effective antimicrobials: a worldwide challenge

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Current evidence on hospital antimicrobial stewardship objectives: a systematic review and meta-analysis

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Laboratory medicine in Africa: a barrier to effective health care

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Class Restriction of Cephalosporin Use to Control Total Cephalosporin Resistance in Nosocomial Klebsiella

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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

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

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 349

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 245

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 233

Tackling antimicrobial resistance across sub-Saharan Africa: current challenges and implications for the future

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 151

Menace of antimicrobial resistance in LMICs: Current surveillance practices and control measures to tackle hostility

Sharma, 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

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 121

The potential impact of the COVID-19 pandemic on global antimicrobial and biocide resistance: an AMR Insights global perspective

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 112

Diagnostic stewardship in infectious diseases: a continuum of antimicrobial stewardship in the fight against antimicrobial resistance

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 93

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

Antibiotic stewardship program in Pakistan: a multicenter qualitative study exploring medical doctors’ knowledge, perception and practices

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 81

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

Multi-antibiotic resistant bacteria in landfill bioaerosols: Environmental conditions and biological risk assessment

Morgado‐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

Characteristics, Risk Factors, and Survival Analysis of Candida auris Cases: Results of One-Year National Surveillance Data from Oman

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 54

Predictors of antibiotic prescriptions: a knowledge, attitude and practice survey among physicians in tertiary hospitals in Nigeria

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

Environmental determinants and demographic influences on global urban microbiomes, antimicrobial resistance and pathogenicity

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

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 49

Comparison of antimicrobial stewardship and infection prevention and control activities and resources between low-/middle- and high-income countries

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

Assessment of the safety and probiotic characteristics of Lactobacillus salivarius CGMCC20700 based on whole-genome sequencing and phenotypic analysis

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

Evaluation of Hospital Antimicrobial Stewardship Programs: Implementation, Process, Impact, and Outcomes, Review of Systematic Reviews

Hadi, H. A., Eltayeb, F., Balushi, S. A., Daghfal, J., Ahmed, F., & Mateus, C. (2024) · Antibiotics · doi:10.3390/antibiotics13030253 · Cited by 38

Current access, availability and use of antibiotics in primary care among key low- and middle-income countries and the policy implications

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 45

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

Drivers of Broad-Spectrum Antibiotic Overuse across Diverse Hospital Contexts—A Qualitative Study of Prescribers in the UK, Sri Lanka and South Africa

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 38

Global surveillance of antimicrobial resistance and hypervirulence in Klebsiella pneumoniae from LMICs: An in-silico approach

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 38

Co-Infections, Secondary Infections, and Antimicrobial Use in Patients Hospitalized with COVID-19 during the First Five Waves of the Pandemic in Pakistan; Findings and Implications

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

Hospital-based antimicrobial stewardship, India

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

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 45

Assessment of the Implementation of Pakistan’s National Action Plan on Antimicrobial Resistance in the Agriculture and Food Sectors

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 37

Coverage of policies to improve antimicrobial stewardship in human medicine in low and middle income countries: results from the Global Survey of Experts on Antimicrobial Resistance

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 31

The impact of the hand hygiene role model project on improving healthcare workers’ compliance: A quasi-experimental observational study

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

Prevention of Clostridioides difficile in hospitals: A position paper of the International Society for Infectious Diseases

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

Wastewater treatment plants: The missing link in global One-Health surveillance and management of antibiotic resistance

Gholizadeh, 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 33

Synthesis of Novel Thiazole Derivatives Bearing β-Amino Acid and Aromatic Moieties as Promising Scaffolds for the Development of New Antibacterial and Antifungal Candidates Targeting Multidrug-Resistant Pathogens

Malūkaitė, D., Grybaitė, B., Vaickelionienė, R., Vaickelionis, G., Sapijanskaitė-Banevič, B., Kavaliauskas, P., & Mickevičius, V. (2021) · Molecules · doi:10.3390/molecules27010074 · Cited by 27

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

Improving primary care antimicrobial stewardship by implementing a peer audit and feedback intervention in Cape Town community healthcare centres

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

Antimicrobial Stewardship Programs in Latin America and the Caribbean: A Story of Perseverance, Challenges, and Goals

Restrepo-Arbeláez, N., García-Betancur, J. C., Pallares, C., & Villegas, M. V. (2023) · Antibiotics · doi:10.3390/antibiotics12081342 · Cited by 26

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

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

Community pharmacists as antimicrobial resistance stewards: a narrative review on their contributions and challenges in low- and middle-income countries

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

An Overview of Preventive Strategies and the Role of Various Organizations in Combating Antimicrobial Resistance

Shelke, Y. P., Bankar, N. J., Bandre, G. R., Hawale, D., & Dawande, P. P. (2023) · Cureus · doi:10.7759/cureus.44666 · Cited by 31

Appropriateness of surgical antimicrobial prophylaxis in a teaching hospital in Ghana: findings and implications

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

Assessing feasibility of establishing antimicrobial stewardship programmes in two provincial-level hospitals in Vietnam: an implementation research study

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 21

Genomic epidemiology of persistently circulating MDR Shigella sonnei strains associated with men who have sex with men (MSM) in Belgium (2013–19)

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

Is spurious penicillin allergy a major public health concern only in high-income countries?

Krishna, M. T., Vedanthan, P. K., Vedanthan, R., Shabrawy, R. M. E., Madhan, R., Nguyen, H. L., Kudagammana, T., Williams, I., Karmacharya, B. M., Hariharan, S., et al. (2021) · BMJ Global Health · doi:10.1136/bmjgh-2021-005437 · Cited by 19

Establishing an Antimicrobial Stewardship Program in Sierra Leone: A Report of the Experience of a Low-Income Country in West Africa

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

Antibiotic use and consumption in Freetown, Sierra Leone: A baseline report of prescription stewardship in outpatient clinics of three tertiary hospitals

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

Challenges and opportunities in the implementation of an antimicrobial stewardship program in Nepal

Khanal, S., Acharya, U., Trotter, A. B., Tripathi, P., Koirala, S., Pahari, B., & Acharya, S. P. (2023) · Antimicrobial Stewardship & Healthcare Epidemiology · doi:10.1017/ash.2022.359 · Cited by 17

Antimicrobial Dispensing Practices during COVID-19 and the Implications for Pakistan

Gul, B., Sana, M., Saleem, A., Mustafa, Z. U., Salman, M., Khan, Y. H., Mallhi, T. H., Sono, T. M., Meyer, J. C., & Godman, B. (2023) · Antibiotics · doi:10.3390/antibiotics12061018 · Cited by 17

New Agents Are Coming, and So Is the Resistance

Keck, J. M., Viteri, A., Schultz, J., Fong, R., Whitman, C., Poush, M., & Martin, M. (2024) · Antibiotics · doi:10.3390/antibiotics13070648 · Cited by 16

Antibiotic use and consumption among medical patients of two hospitals in Sierra Leone: a descriptive report

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

Editorial: Antimicrobial Stewardship in Low- and Middle-Income Countries

Gyssens, I. C., & Wertheim, H. F. L. (2020) · Frontiers in Public Health · doi:10.3389/fpubh.2020.617000 · Cited by 21

Characteristics of antimicrobial stewardship programmes in hospitals of Uganda

Kimbowa, I. M., Ocan, M., Eriksen, J., Nakafeero, M., Obua, C., Lundborg, C. S., & Kalyango, J. N. (2022) · PLoS ONE · doi:10.1371/journal.pone.0268032 · Cited by 14

Antifungal resistance and stewardship: a knowledge, attitudes and practices survey among pharmacy students at the University of Zambia; findings and implications

Mudenda, S., Matafwali, S. K., Mukosha, M., Daka, V., Chabalenge, B., Chizimu, J. Y., Yamba, K., Mufwambi, W., Banda, P., Chisha, P., et al. (2023) · JAC-Antimicrobial Resistance · doi:10.1093/jacamr/dlad141 · Cited by 16

The impact of socioeconomic disparities climate factors and antimicrobial stewardship on antimicrobial resistance in Africa

El‐Maradny, Y. A., Nortey, M. A., Hakayuwa, C. M., Anyamene, E. L., Mary, J. J. F., Engmann, S. T., Tsikata, C. Y., Ahmed, D. A., Onyeaghala, C. A., Heniedy, A. M., et al. (2025) · Discover Public Health · doi:10.1186/s12982-025-00631-5 · Cited by 15

Gaps in antimicrobial stewardship programmes in Asia: a survey of 10 countries

Chang, F., Chuang, Y. C., Veeraraghavan, B., Apisarnthanarak, A., Tayzon, M. F., Kwa, A. L., Chiu, C., Deris, Z. Z., Husin, S. A., Hashim, H., et al. (2022) · JAC-Antimicrobial Resistance · doi:10.1093/jacamr/dlac117 · Cited by 13

Challenges in implementing an Antimicrobial Stewardship Program (ASP) in developing countries

Divecha, C., Tullu, M. S., & Karande, S. (2024) · Journal of Postgraduate Medicine · doi:10.4103/jpgm.jpgm_228_24 · Cited by 13

Assessing the impact of antimicrobial resistance policies on antibiotic use and antimicrobial resistance-associated mortality in children and adults in low and middle-income countries: a global analysis

Ya, K. Z., Patel, J. V., & Fink, G. (2025) · BMJ Public Health · doi:10.1136/bmjph-2023-000511 · Cited by 13

Opportunities for Improving Antimicrobial Stewardship: Findings From a Prospective, Multi-Center Study in Three Low- or Middle-Income Countries

Muro, F. J., Lyamuya, F. S., Kwobah, C. M., Bollinger, J. W., Bodinayake, C. K., Nagahawatte, A., Piyasiri, D. L. B., Kurukulasooriya, R. M., Ali, S., Mallya, R., et al. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.848802 · Cited by 12

Environmental drivers impact the accumulation and diversity of antibiotic resistance in green stormwater infrastructure

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

Barriers-enablers-ownership approach: a mixed methods analysis of a social intervention to improve surgical antibiotic prescribing in hospitals

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

A historical, economic, and technical-scientific approach to the current crisis in the development of antibacterial drugs: Promising role of antibacterial peptides in this scenario

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

Impact of antibiotic prophylaxis on gut microbiota in colorectal surgery: insights from an Eastern European stewardship study

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 13

Advancing Bioactive Peptide Research: A Comprehensive Evaluation Framework Bridging Computational Prediction, Organoid Models, and Clinical Translation for Functional Innovation

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

Disc Diffusion Testing of Azithromycin Against Clinical Isolates of Typhoidal Salmonellae: A Diagnostic Conundrum

Shoaib, M., Satti, L., Hussain, A., Khursheed, N., Sarwar, S., & Shah, A. H. (2021) · Cureus · doi:10.7759/cureus.16777 · Cited by 11

Emerging Antimicrobial Drug Resistance in Africa and Latin America: Search for Reasons

Hoellein, L., Kaale, E. A., Mwalwisi, Y. H., Schulze, M. H., Vetye-Maler, C., & Holzgrabe, U. (2022) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s205077 · Cited by 14

Impact of the Five-Year Intervention of an Antimicrobial Stewardship Program on the Optimal Selection of Surgical Prophylaxis in a Hospital without Antibiotic Prescription Restrictions in Costa Rica: A Retrospective Study

Díaz‐Madriz, J. P., Zavaleta‐Monestel, E., Villalobos-Madríz, J. A., Rojas-Chinchilla, C., Castrillo-Portillo, P., Meléndez-Alfaro, A. V., Vásquez‐Mendoza, A. F., Muñoz‐Gutiérrez, G., & Arguedas‐Chacón, S. (2023) · Antibiotics · doi:10.3390/antibiotics12111572 · Cited by 10

Resistance and Co-Resistance of Metallo-Beta-Lactamase Genes in Diarrheal and Urinary-Tract Pathogens in Bangladesh

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 9

Evaluation of Surveillance Strategies of Antimicrobial Consumption in Animals

Ching, C., Zaman, M. H., & Wirtz, V. J. (2024) · Antibiotics · doi:10.3390/antibiotics13060505 · Cited by 9

The burden of hospital-acquired infections and antibiotic resistance in Bangladesh: current trends and policy implications

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

Clinical presentations, diagnostics, treatments and treatment costs of children and adults with febrile illness in a tertiary referral hospital in south-eastern Guinea: A retrospective longitudinal cohort study

Raab, M., Pfadenhauer, L. M., Doumbouya, D., & Froeschl, G. (2022) · PLoS ONE · doi:10.1371/journal.pone.0262084 · Cited by 9

Evidence based QUality Improvement for Prescribing Stewardship in ICU (EQUIPS-ICU): protocol for type III hybrid implementation-effectiveness study

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

Estimates of Antibacterial Consumption in Timor-Leste Using Distribution Data and Variation in Municipality Usage Patterns

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

Uso responsable de los antibióticos en COVID-19 en Perú: ad portas de otra pandemia!!

Moyano, L. M., León-Jiménez, F., Cavalcanti, S., & Ocaña, V. (2021) · Atención Primaria · doi:10.1016/j.aprim.2021.102172 · Cited by 8

Impact of an empiric antimicrobial therapy manual on antimicrobial usage and multidrug resistant organism trends in a large Italian teaching hospital

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

The longitudinal trend and influential factors exploring of global antimicrobial resistance in Klebsiella pneumoniae

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

Barriers in implementing antibiotic stewardship programmes at paediatric units in academic hospitals in Thailand: a qualitative study

Anugulruengkitt, S., Jupimai, T., Wongharn, P., & Puthanakit, T. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-092509 · Cited by 7

An opportunity for global antimicrobial stewardship research: Refugee populations

Patel, P., Mehrotra, P., & Ladines-Lim, J. B. (2022) · Antimicrobial Stewardship & Healthcare Epidemiology · doi:10.1017/ash.2022.8 · Cited by 7

Avaliação do perfil de uso de antimicrobianos em uma unidade de terapia intensiva após implementação do Programa Stewardship

Bezerra, V. S., Bedor, D. C. G., OLIVEIRA, D. E., SILVA, R. D., GOMES, G. M., LAVOR, A. L., Araújo, L. C., GUERRA, D. M., BARBOSA, V. X., & de Santana, D. P. (2021) · Revista Brasileira de Farmácia Hospitalar e Serviços de Saúde · doi:10.30968/rbfhss.2021.122.0551 · Cited by 7

Feasibility of an antimicrobial stewardship program in four district hospitals in Vietnam

Doshi, J., Ngoc, Y. P., Ma, T. T., Duong, L. T., Van, P. T. T., James, R. S., Li, Q., Nguyen, T. A., Huynh, T. A., Vo, T., et al. (2025) · Journal of Infection and Public Health · doi:10.1016/j.jiph.2025.102943 · Cited by 6

Utility of healthcare-worker-targeted antimicrobial stewardship interventions in hospitals of low- and lower-middle-income countries: a scoping review of systematic reviews

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

The antibiotic procurement saga: a long-neglected stewardship target to combat antimicrobial resistance in Pakistan

Afzal, S., Bajwa, M., Ahmed, N., Jabeen, J., Haroon, M. S., Mushtaq, R. M. Z., & Saleem, Z. (2025) · Antimicrobial Resistance and Infection Control · doi:10.1186/s13756-025-01521-w · Cited by 7

The effect of antimicrobial stewardship interventions upon antimicrobial consumption and appropriateness in Vietnamese district hospitals: a cluster randomised trial

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

Lives lost and disease burden related to antimicrobial resistance in the Americas can no longer be ignored

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

Current Status of Antimicrobial Stewardship Programs in São Paulo Hospitals

Sato, S. A., de Assis, D. B., Madalosso, G., Levin, A. S., Neto, L. V. P., & de Oliveira, M. S. (2021) · Clinics · doi:10.6061/clinics/2021/e2882 · Cited by 5

Tackling the disparities in surgical site infections and related antimicrobial resistance in low- and middle-income countries

Farsakoury, R., Sartelli, M., & Zughaier, S. M. (2025) · Surgery in Practice and Science · doi:10.1016/j.sipas.2025.100315 · Cited by 6

Susceptibility of Carbapenem-Resistant Acinetobacter baumannii and Carbapenem-Resistant Klebsiella pneumoniae Against Cefiderocol with Reference to Their Genetic Profile in India

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

Optimising antibacterial utilisation in Argentine intensive care units: a quality improvement collaborative

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

Doctors’ perceptions of antimicrobial resistance in the Northern West Bank, Palestine: a qualitative study

Gustafsson, 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

Veterinarians approach towards antimicrobial stewardship and one health: A survey study

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

The behaviours identified and the behaviour change techniques planned in health partnerships for antimicrobial stewardship

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

Antimicrobial stewardship in medical education in Germany: a brief survey and a students’ and educator’s call for change

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

Bridging the Gap: Lessons from Low-Resource Pediatric Emergency Medicine for High-Resource Settings

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

The Potential Effects of Implementing an Antibiotic Stewardship Program by Integrating It with Medication Therapy Service in a Low-Income Serving Clinic - A Single-Center Experience

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

Antimicrobial stewardship in low- and middle-income countries: Developing a broader perspective through an ethical analysis

Sinha, I., & Dayama, S. (2023) · Indian Journal of Medical Ethics · doi:10.20529/ijme.2023.072 · Cited by 3

Analysis of Beijing's cold and heat risks based on infectious disease trends

Zhou, Y., & Wan, E. (2024) · Sustainable Cities and Society · doi:10.1016/j.scs.2024.106117 · Cited by 3

Improving Antibiotic Use in Argentine Pediatric Hospitals: A Process Evaluation Using Normalization Process Theory

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

“Dusting Off the Cobwebs”: Rethinking How We Use New Antibiotics

Keck, J. M., Schultz, J., & Viteri, A. (2025) · Antibiotics · doi:10.3390/antibiotics14090862 · Cited by 3

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

Commentary on: the management of patients with gastric intestinal metaplasia

Graham, D. Y., & Lee, Y. (2024) · Gut · doi:10.1136/gutjnl-2024-333684 · Cited by 3

Antibiotic usage patterns in COVID-19 patients in five tertiary hospitals from Bangladesh: A countrywide picture

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

Strategies for controlling communicable diseases in Afghanistan: a realist review

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

Antimicrobial Stewardship in Low- and Middle-Income Countries (LMIC): Challenges & Opportunities

Sudesh, S., Ramya, G. S., Saha, S., & Hani, S. U. (2026) · International Journal of Pharmacology and Clinical Research · doi:10.33545/26647613.2026.v8.i1a.173 · Cited by 1

Antimicrobial Stewardship in Low- and Middle-Income Countries

Dapás, J. I., & Quiros, R. E. (2018) · Current treatment options in infectious diseases/Current treatment options in infectious disease · doi:10.1007/s40506-018-0141-4 · Cited by 9

Antimicrobial stewardship programmes in health-care facilities in low- and middle-income countries: a WHO practical toolkit

(2019) · JAC-Antimicrobial Resistance · doi:10.1093/jacamr/dlz072 · Cited by 219

Current Challenges in Antibiotic Stewardship in Low- and Middle-Income Countries

Galindo‐Fraga, A., Villanueva-Reza, M., & Ochoa‐Hein, E. (2018) · Current treatment options in infectious diseases/Current treatment options in infectious disease · doi:10.1007/s40506-018-0175-7 · Cited by 5

Advocacy for Increased International Efforts for Antimicrobial Stewardship Actions in Low-and Middle-Income Countries on Behalf of Alliance for the Prudent Use of Antimicrobials (APUA), Under the Auspices of the International Society of Antimicrobial Chemotherapy (ISAC)

Tattevin, P., Hara, G. L., Toumi, A., Enani, M. A., Coombs, G. W., Voß, A., Wertheim, H. F. L., Poda, A., Daoud, Z., Laxminarayan, R., et al. (2020) · Frontiers in Medicine · doi:10.3389/fmed.2020.00503 · Cited by 34