Antimicrobial Resistance As A Global Health Threat: A Review Of Antibiotic Use Patterns, Policies, And Cross-Country Impacts
DOI:
https://doi.org/10.51601/ijhp.v5i3.431Abstract
Antimicrobial resistance (AMR) is a global health challenge that threatens the effectiveness of infection treatment and the success of modern medical procedures. Inappropriate use of antibiotics, both in healthcare facilities and in the community, has accelerated the emergence of resistance. Irregular distribution, access without prescription, and the use of antibiotics for non-medical purposes such as agriculture have exacerbated the situation. Global policies, such as the Global Action Plan on AMR initiated by the WHO in 2015, aim to harmonize cross-border efforts to control AMR through a multisectoral One Health approach. However, its implementation still faces various challenges, particularly in low- and middle-income countries due to resource constraints, weak surveillance systems, and inadequate regulations. The cross-border impact of AMR is very real, including increased global health costs, the spread of resistant strains through human mobility, and inequalities in access to the latest generation of antibiotics. Therefore, global synergy is needed to improve antibiotic governance, strengthen surveillance systems, and educate the public and health workers. This article reviews the latest literature and policies on AMR to understand the dynamics of antibiotic use, global policy challenges, and the direction of cross-border solutions.
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References
WHO. (2015). Global Action Plan on Antimicrobial Resistance. Geneva: WHO.
Holmes AH, et al. (2021). Understanding the mechanisms and drivers of antimicrobial resistance. Lancet. 397:176–187.
CDC. (2022). Antibiotic Resistance Threats in the United States. Atlanta: CDC.
Murray CJL, et al. (2022). Global burden of bacterial antimicrobial resistance in 2019. Lancet. 399:629–655.
O’Neill J. (2020). Tackling Drug-Resistant Infections Globally: Final Report.
Auta A, et al. (2021). Global access to antibiotics without prescription. J Infect. 82:13–21.
Van Boeckel TP, et al. (2019). Global trends in antimicrobial use in food animals. PNAS. 116:234–238.
Collignon P, et al. (2021). Anthropological and environmental factors in AMR spread. Clin Infect Dis. 72:878–884.
WHO, FAO, WOAH. (2022). One Health Joint Plan of Action 2022–2026. Geneva: WHO.
GARP. (2022). Progress and Challenges in AMR National Action Plans. Washington DC: CDDEP.
Kementerian Kesehatan RI. (2020). Rencana Aksi Nasional AMR 2020–2024. Jakarta: Kemenkes.
Pradipta IS, et al. (2021). Antibiotic resistance in Indonesia: A systematic review. BMJ Glob Health. 6:e004464.
Grant MJ, Booth A. (2020). A typology of reviews: An analysis of 14 review types. Health Info Libr J. 37:173–182.
Higgins JPT, et al. (2022). Cochrane Handbook for Systematic Reviews.
Tricco AC, et al. (2020). PRISMA Extension for Scoping Reviews. Ann Intern Med. 169:467–473.
Braun V, Clarke V. (2022). Using thematic analysis in qualitative research. Qual Res Psychol. 19:29–42.
Munn Z, et al. (2020). Systematic review or scoping review. BMC Med Res Methodol. 20:103.
Flick U. (2021). Triangulation in qualitative research. SAGE.
WHO. (2023). AWaRe classification of antibiotics. Geneva: WHO.
Klein EY, et al. (2024). Global trends in antibiotic consumption 2016–2023. PNAS. 121:e2411919121.
Tang KL, et al. (2020). Restricting antibiotics in food animals. Lancet Planet Health. 4:e316–e327.
OECD. (2022). Stemming the Superbug Tide: Just A Few Dollars More. Paris: OECD.
Laxminarayan R, et al. (2020). Access to effective antimicrobials: A global challenge. Lancet. 395:189–190.
European CDC. (2024). AMR surveillance in Europe 2023. Stockholm: ECDC.
WHO. (2024). 2024 Antimicrobial Resistance Global Report. Geneva: WHO.
Naibaho CB. (2023). Interprofessional collaboration in AMR control. Indones J Nurs Sci. 5(1):45–55.
Reeves S, et al. (2020). Interprofessional education and training. BMJ. 368:m359.
Rogers Van Katwyk S, et al. (2024). 1–10–100: Unifying goals to mobilize global action on AMR. Glob Health. 20:66.
Centers for Disease Control and Prevention. 2025. One Health. Online: https://www.cdc.gov/one-health/about/?CDC_AAref_Val= https://www.cdc.gov/onehealth/basics/index.html
Ferraz MP. (2024). Antimicrobial Resistance: The Impact from and on Society According to One Health Approach. Societies. 14:187.
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Copyright (c) 2025 Ariska Agustina, Prima Paramita Putri, Kartika Destya Arini, Imas Nurhasanah, Evi Kusumastuti Setianingrum, Didin Sunardi, M. Amnurokhim Malahade

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