Tackling antimicrobial resistance in Bangladesh: A scoping review of policy and practice in human, animal and environment sectors

This article was published in Plos One [ © 2020 Hoque et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.] an...

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Main Authors:	Hoque, Roksana, Ahmed, Syed Masud, Naher, Nahitun, Islam, Mohammad Aminul, Rousham, Emily K., Islam, Bushra Zarin, Hassan, Shaikh
מחברים אחרים:	Brac James P. Grant School of Public Health
פורמט:	Journal Article
שפה:	en_US
יצא לאור:	PLOS ONE 2022
גישה מקוונת:	http://hdl.handle.net/10361/16558 https://doi.org/10.1371/journal.pone.0227947

id	10361-16558
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spelling	10361-165582022-04-21T21:01:38Z Tackling antimicrobial resistance in Bangladesh: A scoping review of policy and practice in human, animal and environment sectors Hoque, Roksana Ahmed, Syed Masud Naher, Nahitun Islam, Mohammad Aminul Rousham, Emily K. Islam, Bushra Zarin Hassan, Shaikh Brac James P. Grant School of Public Health This article was published in Plos One [ © 2020 Hoque et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.] and the definite version is available at: https://doi.org/10.1371/journal.pone.0227947 The Journal's website is at: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227947 Background Antimicrobial resistance (AMR) has become an emerging issue in the developing countries as well as in Bangladesh. AMR is aggravated by irrational use of antimicrobials in a largely unregulated pluralistic health system. This review presents a ‘snap shot’ of the current situa tion including existing policies and practices to address AMR, and the challenges and barri ers associated with their implementation. Methods A systematic approach was adopted for identifying, screening, and selecting relevant litera ture on AMR situation in Bangladesh. We used Google Scholar, Pubmed, and Biomed Cen tral databases for searching peer-reviewed literature in human, animal and environment sectors during January 2010-August 2019, and Google for grey materials from the institu tional and journal websites. Two members of the study team independently reviewed these documents for inclusion in the analysis. We used a ‘mixed studies review’ method for syn thesizing evidences from different studies. Result Of the final 47 articles, 35 were primary research, nine laboratory-based research, two review papers and one situation analysis report. Nineteen articles on human health dealt with prescribing and/or use of antimicrobials, five on self-medication, two on non-compli ance of dosage, and 10 on the sensitivity and resistance patterns of antibiotics. Four papers focused on the use of antimicrobials in food animals and seven on environmental contamination. Findings reveal widespread availability of antimicrobials without prescription in the country including rise in its irrational use across sectors and consequent contamina tion of environment and spread of resistance. The development and transmission of AMR is deep-rooted in various supply and demand side factors. Implementation of existing policies and strategies remains a challenge due to poor awareness, inadequate resources and absence of national surveillance. Conclusion AMR is a multi-dimensional problem involving different sectors, disciplines and stakeholders requiring a One Health comprehensive approach for containment. Published 2022-04-21T09:05:05Z 2022-04-21T09:05:05Z 2020 2020-01-27 Journal Article Hoque, R., Ahmed, S. M., Naher, N., Islam, M. A., Rousham, E. K., Islam, B. Z., & Hassan, S. (2020). Tackling antimicrobial resistance in Bangladesh: A scoping review of policy and practice in human, animal and environment sectors. PloS one, 15(1), e0227947. https://doi.org/10.1371/journal.pone.0227947 http://hdl.handle.net/10361/16558 https://doi.org/10.1371/journal.pone.0227947 en_US https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227947 application/pdf PLOS ONE
institution	Brac University
collection	Institutional Repository
language	en_US
description	This article was published in Plos One [ © 2020 Hoque et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.] and the definite version is available at: https://doi.org/10.1371/journal.pone.0227947 The Journal's website is at: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0227947
author2	Brac James P. Grant School of Public Health
author_facet	Brac James P. Grant School of Public Health Hoque, Roksana Ahmed, Syed Masud Naher, Nahitun Islam, Mohammad Aminul Rousham, Emily K. Islam, Bushra Zarin Hassan, Shaikh
format	Journal Article
author	Hoque, Roksana Ahmed, Syed Masud Naher, Nahitun Islam, Mohammad Aminul Rousham, Emily K. Islam, Bushra Zarin Hassan, Shaikh
spellingShingle	Hoque, Roksana Ahmed, Syed Masud Naher, Nahitun Islam, Mohammad Aminul Rousham, Emily K. Islam, Bushra Zarin Hassan, Shaikh Tackling antimicrobial resistance in Bangladesh: A scoping review of policy and practice in human, animal and environment sectors
author_sort	Hoque, Roksana
title	Tackling antimicrobial resistance in Bangladesh: A scoping review of policy and practice in human, animal and environment sectors
title_short	Tackling antimicrobial resistance in Bangladesh: A scoping review of policy and practice in human, animal and environment sectors
title_full	Tackling antimicrobial resistance in Bangladesh: A scoping review of policy and practice in human, animal and environment sectors
title_fullStr	Tackling antimicrobial resistance in Bangladesh: A scoping review of policy and practice in human, animal and environment sectors
title_full_unstemmed	Tackling antimicrobial resistance in Bangladesh: A scoping review of policy and practice in human, animal and environment sectors
title_sort	tackling antimicrobial resistance in bangladesh: a scoping review of policy and practice in human, animal and environment sectors
publisher	PLOS ONE
publishDate	2022
url	http://hdl.handle.net/10361/16558 https://doi.org/10.1371/journal.pone.0227947
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Tackling antimicrobial resistance in Bangladesh: A scoping review of policy and practice in human, animal and environment sectors

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