Preventing antimicrobial resistance in Bangladeshi aquaculture

by Steve Hinchliffe

The emergence and transmission of microbes that are resistant to available medicines are major threats to medical practice and public health. The use of antibiotics and other antimicrobial treatments in food production adds to the risks of resistance. Food and farming account for the majority of the world’s consumption of those products. Continue reading

How dogma trumps evidence in the practice of prescribing antibiotics

Helen Lambert 150Professor Helen Lambert is Professor of Medical Anthropology in the Department of Public Health Sciences, University of Bristol. Her long-term work concerns popular therapeutics and medical plurality in India. She was the ESRC’s Research Champion for antimicrobial resistance (AMR) from 2015-2017 and is leading an interdisciplinary research collaboration on Pathways to Antibiotic Use in China with colleagues at Anhui Medical University.

Most of the UK population have grown up with the message that patients must complete their course of antibiotics to stop drug resistance developing. A recent paper in the British Medical Journal caused international controversy by pointing out that far from preventing the emergence of antibacterial resistance, greater exposure to antibiotics increases the risk of acquiring resistant pathogens; and where research evidence exists, shorter courses of antibiotics are mostly (though not always) as effective as longer ones.

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As ESRC launches multi-million pound initiative tackling drug resistant infections, can we look at Da Vinci for inspiration?

Today the ESRC has launched a new multi-million pound initiative which aims to expand understanding of how the behaviour of professionals, organisations and the public impacts on anti-microbial resistance (AMR) – particularly resistance to antibiotics and other drugs.

The new call is part of the wider cross-research council initiative on AMR. The ESRC is looking for academics, from across the social and medical sciences and the arts and humanities, to lead collaborative research on how we can enhance or control the spread of AMR.

As the new call launches, the University of Bristol‘s Dr Christie Cabral and Dr Helen Lambert, ESRC AMR Champion, look at how spreading knowledge across the sciences is key.

Christie Cabral

Christie Cabral

Helen Lambert

Helen Lambert

 

 

 

 

 

Anti-microbial resistance (AMR) is a ‘wicked problem’ which leads to drug resistant infections.  The evidence is incomplete or contradictory, there are many different interest groups with different needs and views, and the ‘solution’ depends on how the ‘problem’ is framed and vice versa.  Like other ‘wicked problems’ (eg climate change, species conservation, pandemic influenza) that result from the complex interaction of a huge range of influences, there is no single, simple solution and so our response needs to be multifaceted.   Continue reading