Communication, information and knowledge exchange in the prevention of antimicrobial resistance in South Africa and worldwide: a narrative bioethical review.

Current study uses the method of narrative review and the method of bioethical analysis to evaluate the status of management antimicrobial resistance in South Africa and globally. Specific focus is placed on the evaluation of the alignment of the strategic, operational and tactical decision-making b...

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Publicado en:Academicus no. 34; pp. 232 - 302
Autores principales: Sharma, Samridhi, Srinivas, Sunitha, Maguire, Kelly, Tandlich, Roman
Formato: Literature Review
Publicado: Academicus 2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Academicus
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        atl: Communication, information and knowledge exchange in the prevention of antimicrobial resistance in South Africa and worldwide: a narrative bioethical review.
      aug:
        au:
          Sharma, Samridhi
          Srinivas, Sunitha
          Maguire, Kelly
          Tandlich, Roman
        affil:
          Disaster Management and Ethics Research Group, Faculty of Pharmacy, Rhodes University, South Africa.
          Research Associate Disaster Management Division, Stenden South Africa, South Africa.
      su:
        Drug resistance in microorganisms
        Information sharing
        World Health Organization
        World health
        Health policy
        Face-to-face communication
        South Africans
        Health literacy
        Bioethics
        South Africa
      sug:
        subj:
          South Africa
          Drug resistance in microorganisms
          Information sharing
          World Health Organization
          World health
          Health policy
          Face-to-face communication
          South Africans
          Health literacy
          Bioethics
      keyword:
        frontline healthcare workers
        health threats
        tactical decision-making
        training
        utilitarian qubit
      ab: Current study uses the method of narrative review and the method of bioethical analysis to evaluate the status of management antimicrobial resistance in South Africa and globally. Specific focus is placed on the evaluation of the alignment of the strategic, operational and tactical decision-making between international, regional national and sub-national level of planning decision-making, data and information exchange, and mechanisms to minimise human suffering due to antimicrobial resistance. Antimicrobial resistance is looked at as a feedback loop which results from the irrational prescribing an overuse of antimicrobial medicines by humanity, and through the lens of the utilitarian qubit. Results of the study indicate that the World Health Organisation and other international, or regional organisations stimulate collaboration and create/operationalise platforms that allow for efficient exchange of information about antimicrobial resistance. Limitations exist in the antimicrobial resistance testing and linking of prescribing and dispensing of antimicrobial agents in low- and middle-income countries. Solutions are proposed to address the gaps at the tactical level of decision-making and to deal with uncertainty antimicrobial resistance development in the future. These include of targeted training mechanisms, which are legislated at the national level of government, and which empower frontline healthcare workers. These training programmes should be supplemented by the use communicative ecology in data gathering, and information sharing. It is also important to drive behavioural rigor in prescribing, dispensing, and therapeutic uses of antimicrobial medicines in public healthcare systems. Finally, health literacy of all stakeholders should be continuously monitored in relation to antimicrobial resistance.
      pubtype: Academic Journal
      doctype: Literature Review
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    language: English
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