Evidence map›Paper›PMID 39843968›Full record

Reviewnpj antimicrobials and resistance2024

Antimicrobial stewardship: a definition with a One Health perspective.

Rebecca Hibbard, Marc Mendelson, Stephen W Page, Jorge Pinto Ferreira, Céline Pulcini, Mathilde C Paul, Céline Faverjon

Abstract readReview
In one paragraph

Review in npj antimicrobials and resistance, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  17. Antibiotic stewardship: what for?Frontiers in antibiotics · 2025
    Article
  18. FromFrontiers in medicine · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Rebecca HibbardIHAP, Université de Toulouse, INRAE, ENVT, Toulouse, France. rebecca.hibbard@envt.fr.ORCID http://orcid.org/0009-0002-3024-9424
Marc MendelsonDivision of Infectious Diseases & HIV Medicine, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Stephen W PageAdvanced Veterinary Therapeutics, Newtown, NSW, 2042, Australia.ORCID http://orcid.org/0000-0001-5312-2149
Jorge Pinto FerreiraFood and Agriculture Organization of the United Nations (FAO), Viale delle Terme di Caracalla, 00153, Rome, Italy.
Céline PulciniUniversité de Lorraine, Inserm, INSPIIRE, Nancy, France and Université de Lorraine, CHRU-Nancy, Centre régional en antibiothérapie du Grand Est AntibioEst, Nancy, France.
Mathilde C PaulIHAP, Université de Toulouse, INRAE, ENVT, Toulouse, France.ORCID http://orcid.org/0000-0003-2940-8547
Céline FaverjonAusvet Europe, Lyon, France.ORCID http://orcid.org/0000-0001-6737-1883

Funding

United States Agency for International Development (U.S. Agency for International Development) 7200AA21CA00004
6 · The paper itself

Abstract

Antimicrobial stewardship (AMS) is a commonly advocated approach to address antimicrobial resistance. However, AMS is often defined in different ways depending on where it is applied, such that a range of definitions is now in use. These definitions may be functional and well-structured for a given context but are often ill-adapted for collaborative work, creating difficulties for intersectoral communication on AMS and complicating the design, implementation, and evaluation of AMS interventions from a One Health perspective. Using boundary object theory, we identified three key elements common to AMS in different settings in the human and animal health sectors-a sense of collective and temporal responsibility, flexibility in scale and scope, and contextual contingency. Based on these findings, we propose a definition for antimicrobial stewardship applicable to the human and animal health sectors, intended to facilitate intersectoral communication and cooperation. Further directions of this work could include the application of the definition to develop indicators for evaluating stewardship interventions and the extension of the definition to incorporate elements pertinent to plant and ecosystem health.

Identifiers

PMID39843968
PMCPMC11721127

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.