The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.
Antibiotic effectiveness: Balancing conservation against innovation
Abstract
Antibiotic effectiveness is a natural societal resource that is diminished by antibiotic use. As with other such assets, keeping it available requires both conservation and innovation. Conservation encompasses making the best use of current antibiotic effectiveness by reducing demand through vaccination, infection control, diagnostics, public education, incentives for clinicians to prescribe fewer antibiotics, and restrictions on access to newer, last-resort antibiotics. Innovation includes improving the efficacy of current drugs and replenishing effectiveness by developing new drugs. In this paper, I assess the relative benefits and costs of these two approaches to maintaining our ability to treat infections.
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“improving sanitation, expanding the use of vaccines, and strengthening hospital infection control have proven extremely effective tools in reducing the needs for antibiotic therapies.”
From Antibiotic-Induced Changes in the Intestinal Microbiota and Disease (2016) · cites this paper as [116]
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Cites
Antibiotic resistance-the need for global solutions
Laxminarayan, R., Duse, A., Wattal, C., Zaidi, A. K. M., Wertheim, H. F. L., Sumpradit, N., Vlieghe, E., Hara, G. L., Gould, I. M., Goossens, H., et al. (2013) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(13)70318-9 · Cited by 4,439
Self-citationGlobal Spread of Carbapenemase-producing Enterobacteriaceae
Nordmann, P., Naas, T., & Poirel, L. (2011) · Emerging infectious diseases · doi:10.3201/eid1710.110655 · Cited by 2,489
Global antibiotic consumption 2000 to 2010: an analysis of national pharmaceutical sales data
Boeckel, T. P. V., Gandra, S., Ashok, A., Caudron, Q., Grenfell, B. T., Levin, S. A., & Laxminarayan, R. (2014) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(14)70780-7 · Cited by 2,355
Self-citationNon-prescription antimicrobial use worldwide: a systematic review
Morgan, D. J., Okeke, I. N., Laxminarayan, R., Perencevich, E. N., & Weisenberg, S. (2011) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(11)70054-8 · Cited by 947
Self-citationKyaw, M. H., Lynfield, R., Schaffner, W., Craig, A. S., Hadler, J. L., Reingold, A. L., Thomas, A. R., Harrison, L. H., Bennett, N. M., Farley, M. M., et al. (2006) · New England Journal of Medicine · doi:10.1056/nejmoa051642 · Cited by 884
Garonzik, S. M., Li, J., Thamlikitkul, V., Paterson, D. L., Shoham, S., Jacob, J., Silveira, F. P., Forrest, A., & Nation, R. L. (2011) · Antimicrobial Agents and Chemotherapy · doi:10.1128/aac.01733-10 · Cited by 696
Huttner, B. D., Goossens, H., Verheij, T. J., & Harbarth, S. (2009) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(09)70305-6 · Cited by 591
Antibiotics in the clinical pipeline in 2013
Butler, M. S., Blaskovich, M. A. T., & Cooper, M. A. (2013) · The Journal of Antibiotics · doi:10.1038/ja.2013.86 · Cited by 436
Once-Weekly Dalbavancin versus Daily Conventional Therapy for Skin Infection
Boucher, H. W., Wilcox, M. A., Talbot, G. H., Puttagunta, S., Das, A., & Dunne, M. W. (2014) · New England Journal of Medicine · doi:10.1056/nejmoa1310480 · Cited by 433
Sabuncu, E., David, J., Bernède‐Bauduin, C., Pépin, S., Leroy, M., Boëlle, P., Watier, L., & Guillemot, D. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000084 · Cited by 424
Russell, A. D. (2003) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(03)00833-8 · Cited by 418
Fowler, V. G., Allen, K. B., Moreira, E. D., Moustafa, M., Isgro, F., Boucher, H. W., Corey, G. R., Carmeli, Y., Betts, R. F., Hartzel, J. S., et al. (2013) · JAMA · doi:10.1001/jama.2013.3010 · Cited by 376
Antibiotics as Part of the Management of Severe Acute Malnutrition
Trehan, I., Goldbach, H. S., LaGrone, L. N., Meuli, G. J., Wang, R. J., Maleta, K. M., & MANARY, M. J. (2013) · New England Journal of Medicine · doi:10.1056/nejmoa1202851 · Cited by 349
Azithromycin in control of trachoma
Schachter, J., West, S. K., Mabey, D. C. W., Dawson, C. R., Bobo, L. D., Bailey, R. L., Vitale, S., Quinn, T. C., Sheta, A., Sallam, S., et al. (1999) · The Lancet · doi:10.1016/s0140-6736(98)12387-5 · Cited by 317
Single-Dose Oritavancin in the Treatment of Acute Bacterial Skin Infections
Corey, G. R., Kabler, H., Mehra, P., Gupta, S., Overcash, J. S., Porwal, A. D., Giordano, P., LUCASTI, C. J., Perez, A., Good, S., et al. (2014) · New England Journal of Medicine · doi:10.1056/nejmoa1310422 · Cited by 305
Antimicrobial resistance in developing countries. Part II: strategies for containment
Okeke, I. N., Klugman, K. P., Bhutta, Z. A., Duse, A. G., Jenkins, P., O’Brien, T., Pablos-Méndez, A., & Laxminarayan, R. (2005) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(05)70217-6 · Cited by 297
Self-citationEconomics of Antibiotic Resistance: A Theory of Optimal Use
Laxminarayan, R., & Brown, G. (2001) · Journal of Environmental Economics and Management · doi:10.1006/jeem.2000.1156 · Cited by 197
Self-citationFrana, T. S., Beahm, A. R., Hanson, B., Kinyon, J. Μ., Layman, L. L., Karriker, L. A., Ramirez, A., & Smith, T. C. (2013) · PLoS ONE · doi:10.1371/journal.pone.0053738 · Cited by 159
Rinsky, J. L., Nadimpalli, M. L., Wing, S., Hall, D., Baron, D., Price, L. B., Larsen, J., Stegger, M., Stewart, J. R., & Heaney, C. D. (2013) · PLoS ONE · doi:10.1371/journal.pone.0067641 · Cited by 155
National Seasonal Influenza Vaccination Survey in Europe, 2008
Mereckiene, J., Cotter, S. M., Nicoll, A., Lévy-Bruhl, D., Ferro, A. M., Tridente, G., Zanoni, G., Berra, P., Salmaso, S., O’Flanagan, D., et al. (2008) · Eurosurveillance · doi:10.2807/ese.13.43.19017-en · Cited by 134
Capita, R., Riesco-Peláez, F., Alonso-Hernando, A., & Alonso‐Calleja, C. (2013) · Applied and Environmental Microbiology · doi:10.1128/aem.02283-13 · Cited by 128
Ciprofloxacin Dosage and Emergence of Resistance in Human Commensal Bacteria
Fantin, B., Duval, X., Massias, L., Alavoine, L., Chau, F., Retout, S., Andremont, A., & Mentré, F. (2009) · The Journal of Infectious Diseases · doi:10.1086/600122 · Cited by 121
Achievements of the Belgian Antibiotic Policy Coordination Committee (BAPCOC)
Goossens, H., Coenen, S., Costers, M., Corte, S. D., Sutter, A., Gordts, B., Laurier, L., & Struelens, M. J. (2008) · Eurosurveillance · doi:10.2807/ese.13.46.19036-en · Cited by 98
Future antibiotics scenarios: is the tide starting to turn?
Theuretzbacher, U. (2009) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2009.02.005 · Cited by 91
Extending the cure policy responses to the growing threat of antibiotic resistance
Laxminarayan, R., & Malani, A. (2007) · Cited by 90
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McDonnell Norms Group (2008) · Journal of the American College of Surgeons · doi:10.1016/j.jamcollsurg.2008.02.035 · Cited by 83
Seidman, J. C., Coles, C. L., Silbergeld, E. K., Levens, J. P., Mkocha, H. A., Johnson, L. B., Muñoz, B., & West, S. K. (2014) · International Journal of Epidemiology · doi:10.1093/ije/dyu062 · Cited by 62
Approval and Withdrawal of New Antibiotics and other Antiinfectives in the U.S., 1980–2009
Outterson, K., Powers, J. H., Seoane, E., Rodríguez-Monguió, R., & Kesselheim, A. S. (2013) · The Journal of Law Medicine & Ethics · doi:10.1111/jlme.12079 · Cited by 54
Association between health insurance and antibiotics prescribing in four counties in rural China
Dong, H., Bogg, L., Rehnberg, C., & Diwan, V. K. (1999) · Health Policy · doi:10.1016/s0168-8510(99)00026-3 · Cited by 42
Report urges controversial 'delinkage' to foster new antibiotics
Holmes, D. J. (2014) · Nature Medicine · doi:10.1038/nm0414-320 · Cited by 9
From Financing to Fevers: Lessons of an Antimalarial Subsidy Program
Laxminarayan, R., Arrow, K. J., Jamison, D. T. T., & Bloom, B. R. (2012) · Science · doi:10.1126/science.1231010 · Cited by 7
Self-citation
Research works printed but not linked: 1
- M. Sweidan Y. Zhang K. Harvey Y. Yang X. Shen K. Yao in Proceedings of the 2nd National Workshop on Rational Use of Antibiotics in China (Beijing Children's Hospital Beijing China 2005) pp. 1–18.
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Self-citationEnvironmental factors influencing the development and spread of antibiotic resistance
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Antibiotic-Induced Changes in the Intestinal Microbiota and Disease
Becattini, S., Taur, Y., & Pamer, E. G. (2016) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2016.04.003 · Cited by 901
Metadata
- Authors
- Laxminarayan, R.
- Affiliations
- Center for Disease Dynamics, Economics & Policy (US)
- Corresponding author
- Laxminarayan, Ramanan
- Venue
- Science
- Published
- 2014-09-12
- Volume
- 345
- Issue
- 6202
- Pages
- 1299-1301
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- OpenAlex
- W2004486295
- Cited by
- 170
- References
- 31
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 7 · 2023: 10 · 2022: 19 · 2021: 12 · 2020: 27 · 2019: 19 · 2018: 14 · 2017: 21 · 2016: 15 · 2015: 10 · 2014: 4
- FWCI
- 14.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Pharmaceutical Economics and Policy
- Health Sciences › Medicine › Microbiology (medical) › Antibiotic Resistance in Bacteria
- Keywords
- antibiotic effectiveness, antibiotic resistance, new antibiotic development, demand reduction, vaccination, infection control, antimicrobial diagnostics, prescribing incentives
- MeSH terms
- Animals, Animal Husbandry, Anti-Bacterial Agents, Communicable Disease Control, Communicable Diseases, Humans, Vaccination, Drug Resistance, Bacterial, Livestock
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