The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.
Quick fix for care, productivity, hygiene and inequality: reframing the entrenched problem of antibiotic overuse
Open accessAbstract
Antimicrobial resistance (AMR) is a major challenge of our time. A key global objective is to reduce antibiotic use (ABU), in order to reduce resistance caused by antimicrobial pressure. This is often set as a ‘behaviour change’ issue, locating intervention efforts in the knowledge and attitudes of individual prescribers and users of medicines. Such approaches have had limited impact and fall short of addressing wider drivers of antibiotic use. To address the magnitude of antibiotic overuse requires a wider lens to view our relationships with these medicines. This article draws on ethnographic research from East Africa to answer the question of what roles antibiotics play beyond their immediate curative effects. We carried out interviews, participant observation and documentary analysis over a decade in northeast Tanzania and eastern and central Uganda. Our findings suggest that antibiotics have become a ‘quick fix’ in our modern societies. They are a quick fix for care in fractured health systems; a quick fix for productivity at local and global scales, for humans, animals and crops; a quick fix for hygiene in settings of minimised resources; and a quick fix for inequality in landscapes scarred by political and economic violence. Conceptualising antibiotic use as a ‘quick fix’ infrastructure shifts attention to the structural dimensions of AMR and antimicrobial use (AMU) and raises our line of sight into the longer term, generating more systemic solutions that have greater chance of achieving equitable impact.
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Cites
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Interventions to improve antibiotic prescribing practices for hospital inpatients
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Cited by
The scope of the antimicrobial resistance challenge
Okeke, I. N., de Kraker, M. E. A., Van Boeckel, T. P., Kumar, C. K., Schmitt, H., Gales, A. C., Bertagnolio, S., Sharland, M., & Laxminarayan, R. (2024) · The Lancet · doi:10.1016/s0140-6736(24)00876-6 · Cited by 474
Tackling antimicrobial resistance in low-income and middle-income countries
Pokharel, S., Raut, S., & Adhikari, B. (2019) · BMJ Global Health · doi:10.1136/bmjgh-2019-002104 · Cited by 407
Antimicrobial resistance and COVID-19: Intersections and implications
Knight, G. M., Glover, R. E., McQuaid, C. F., Olaru, I. D., Gallandat, K., Leclerc, Q. J., Fuller, N. M., Willcocks, S. J., Hasan, R., van Kleef, E., et al. (2021) · eLife · doi:10.7554/elife.64139 · Cited by 355
Self-citationMitchell, J., Cooke, P., Ahorlu, C., Arjyal, A., Baral, S., Carter, L., Dasgupta, R., Fieroze, F., Fonseca-Braga, M., Huque, R., et al. (2022) · Global Public Health · doi:10.1080/17441692.2021.2003839 · Cited by 94
Iwu, C. D., & Patrick, S. M. (2021) · International Journal of Antimicrobial Agents · doi:10.1016/j.ijantimicag.2021.106411 · Cited by 78
Metadata
- Authors
- Denyer Willis, L., & Chandler, C.
- Venue
- BMJ Global Health
- Publisher
- BMJ
- Published
- 2019-08
- Volume
- 4
- Issue
- 4
- Pages
- e001590
- ISSN
- 2059-7908 (ISSN-L)
- OpenAlex
- W2967465701
- Cited by
- 217
- References
- 9
- FWCI
- 11.88
- Type
- journal article
- Language
- en
- Open access
- gold
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
