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Antimicrobial stewardship through a one health lens: Observations from Washington State

Marisa Anne D'Angeli (Department of Communicable Disease Epidemiology, Washington State Department of Health, Shoreline, Washington, USA)

Joe B. Baker (Animal Services Division, Washington State Department of Health, Olympia, Washington, USA)

Douglas R. Call (Paul G. Allen School for Global Animal Health, Washington State University, Pullman, Washington, USA)

Margaret A. Davis (Paul G. Allen School for Global Animal Health, Washington State University, Pullman, Washington, USA)

Kelly J. Kauber (Department of Communicable Disease Epidemiology, Washington State Department of Health, Shoreline, Washington, USA)

Uma Malhotra (Department of Infectious Diseases, Virginia Mason Hospital & Seattle Medical Center, Seattle, Washington, USA)

Gregory T. Matsuura (Department of Infection Prevention / Antibiotic Stewardship, Yakima Valley Memorial Hospital, Yakima, USA)

Dale A. Moore (Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington, USA)

Chris Porter (United Advanced Registered Nurse Practitioners of Washington, Seattle, Washington, USA)

Paul Pottinger (Allergy and Infectious Disease Division, University of Washington Medical Center, Seattle, Washington USA)

Virginia Stockwell (Agricultural Research Service, Horticultural Crops Research Unit, United States Department of Agriculture, Corvallis, Oregon USA)

Carol Wagner (Patient Safety Program, Washington State Hospital Association, Seattle, Washington, USA)

Ron Wohrle (Zoonotic Disease Program, Office of Environmental Public Health Sciences, Washington State Department of Health, Olympia, Washington, USA)

Jonathan Yoder (School of Economic Sciences, Washington State University, Pullman, Washington, USA and Paul G. Allen School for Global Animal Health, Washington State University, Pullman, Washington, USA)

Leah Hampson Yoke (Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA and Allergy and Infectious Disease Division, School of Medicine, University of Washington, Seattle, Washington, USA)

Peter Rabinowitz (Center for One Health Research, Department of Environmental and Occupational Health, University of Washington, Seattle, Washington, USA)

International Journal of Health Governance

ISSN: 2059-4631

Article publication date: 5 September 2016

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Abstract

Purpose

Antibiotic resistance (AR) is a global health crisis that is attracting focussed attention from healthcare, public health, governmental agencies, the public, and food producers. The purpose of this paper is to describe the work in Washington State to combat resistance and promote antimicrobial stewardship from a one health perspective.

Design/methodology/approach

In 2014, the Washington State Department of Health convened a One Health Steering Committee and two workgroups to focus on AR, the One Health Antimicrobial Stewardship work group and the One Health Antimicrobial Resistance Surveillance work group. The group organized educational sessions to establish a basic understanding of epidemiological factors that contribute to resistance, including antibiotic use, transmission of resistant bacteria, and environmental contamination with resistant bacteria and antibiotic residues.

Findings

The authors describe the varied uses of antibiotics; efforts to promote stewardship in human, and animal health, including examples from the USA and Europe; economic factors that promote use of antibiotics in animal agriculture; and efforts, products and next steps of the workgroups.

Originality/value

In Washington, human, animal and environmental health experts are working collaboratively to address resistance from a one health perspective. The authors are establishing a multi-species resistance database that will allow tracking resistance trends in the region. Gaps include measurement of antibiotic use in humans and animals; integrated resistance surveillance information; and funding for AR and animal health research.

Keywords

Citation

D'Angeli, M.A., Baker, J.B., Call, D.R., Davis, M.A., Kauber, K.J., Malhotra, U., Matsuura, G.T., Moore, D.A., Porter, C., Pottinger, P., Stockwell, V., Wagner, C., Wohrle, R., Yoder, J., Yoke, L.H. and Rabinowitz, P. (2016), "Antimicrobial stewardship through a one health lens: Observations from Washington State", International Journal of Health Governance, Vol. 21 No. 3, pp. 114-130. https://doi.org/10.1108/IJHG-02-2016-0009

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Emerald Group Publishing Limited

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Antimicrobial stewardship through a one health lens: Observations from Washington State

Abstract

Purpose

Design/methodology/approach

Findings

Originality/value

Keywords

Citation

Publisher

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Please note you do not have access to teaching notes

Abstract

Purpose

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