Combating Global Antibiotic Resistance: Emerging One Health Concerns in Lower-and Middle-Income Countries

Maya Nadimpalli, Elisabeth Delarocque-Astagneau, David C. Love, Lance B. Price, Bich Tram Huynh, Jean Marc Collard, Kruy Sun Lay, Laurence Borand, Awa Ndir, Timothy R. Walsh, Didier Guillemot, Agathe De Lauzanne, Alexandra Kerleguer, Arnaud Tarantola, Patrice Piola, Thida Chon, Siyin Lach, Veronique Ngo, Sok Touch, Zo Zafitsara AndrianirinaMuriel Vray, Vincent Richard, Abdoulaye Seck, Raymond Bercion, Amy Gassama Sow, Jean Baptiste Diouf, Pape Samba Dieye, Balla Sy, Bouya Ndao, Maud Seguy, Laurence Watier, Armiya Youssouf Abdou

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


Antibiotic misuse in lower-and middle-income countries (LMICs) contributes to the development of antibiotic resistance that can disseminate globally. Strategies specifc to LMICs that seek to reduce antibiotic misuse by humans, but simultaneously improve antibiotic access, have been proposed. However, most approaches to date have not considered the growing impact of animal and environmental reservoirs of antibiotic resistance, which threaten to exacerbate the antibiotic resistance crisis in LMICs. In particular, current strategies do not prioritize the impacts of increased antibiotic use for terrestrial food-animal and aquaculture production, inadequate food safety, and widespread environmental pollution. Here, we propose new approaches that address emerging, One Health challenges.

Original languageEnglish (US)
Pages (from-to)963-969
Number of pages7
JournalClinical Infectious Diseases
Issue number6
StatePublished - Mar 5 2018


  • One Health
  • animal agriculture
  • antibiotic resistance
  • environmental pollution
  • lower-and middle-income countries

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases


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