Evidence map›Paper›PMID 31783803›Full record

ArticleBMC infectious diseases2019

Mathematical modelling for antibiotic resistance control policy: do we know enough?

Gwenan M Knight, Nicholas G Davies, Caroline Colijn, Francesc Coll, Tjibbe Donker, Danna R Gifford, Rebecca E Glover, Mark Jit, Elizabeth Klemm, Sonja Lehtinen and 9 more

Abstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Prevention of antimicrobial prescribing among infants following maternal vaccination against respiratory syncytial virus.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Trial
  3. Review
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  7. Article
  8. Article
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  10. Article
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  12. Article
  13. Challenges in Forecasting Antimicrobial Resistance.Emerging infectious diseases · 2023
    Review
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  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Gwenan M KnightDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine (LSHTM), London, UK. gwen.knight@lshtm.ac.uk.ORCID http://orcid.org/0000-0002-7263-9896
Nicholas G DaviesDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine (LSHTM), London, UK.
Caroline ColijnDepartment of Mathematics, Simon Fraser University, Burnaby, Canada.
Francesc CollDepartment of Infection Biology, Faculty of Infectious and Tropical Diseases, LSHTM, London, UK.
Tjibbe DonkerNuffield Department of Medicine, University of Oxford, Oxford, UK.
Danna R GiffordFaculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Rebecca E GloverDepartment of Health Services Research and Policy, Faculty of Public Health and Policy, LSHTM, London, UK.
Mark JitDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine (LSHTM), London, UK.
Elizabeth KlemmWellcome Trust, London, UK.
Sonja LehtinenBig Data Institute, Li Ka Shing Centre for Health Information and Discovery, Nuffield Department of Medicine, University of Oxford, Oxford, UK.
Jodi A LindsayInstitute for Infection and Immunity, St George's, University of London, Cranmer Terrace, London, UK.
Marc LipsitchCenter for Communicable Disease Dynamics, Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Martin J LlewelynDepartment of Global Health and Infection, Brighton and Sussex Medical School, Brighton, UK.
Ana L P MateusPopulation Sciences and Pathobiology Department, Royal Veterinary College, London, UK.
Julie V RobothamModelling and Economics Unit, National Infection Service, Public Health England, London, UK.
Mike SharlandPaediatric Infectious Disease Research Group, St George's University of London, London, UK.
Dov StekelSchool of Biosciences, University of Nottingham, Loughborough, UK.
Laith YakobDepartment of Disease Control, Faculty of Infectious and Tropical Diseases, LSHTM, London, UK.
Katherine E AtkinsDepartment of Infectious Disease Epidemiology, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine (LSHTM), London, UK.

Funding

Centre for the Mathematical Modelling of Infectious Diseases, LSHTM n/aMedical Research Council MR/P014658/1Medical Research Council MR/P028322/1Medical Research Council MR/R024936/1The AMR Centre, LSHTM n/aWellcome Trust 201344/Z/16/Z
6 · The paper itself

Abstract

backgroundAntibiotics remain the cornerstone of modern medicine. Yet there exists an inherent dilemma in their use: we are able to prevent harm by administering antibiotic treatment as necessary to both humans and animals, but we must be mindful of limiting the spread of resistance and safeguarding the efficacy of antibiotics for current and future generations. Policies that strike the right balance must be informed by a transparent rationale that relies on a robust evidence base. MAIN TEXT: One way to generate the evidence base needed to inform policies for managing antibiotic resistance is by using mathematical models. These models can distil the key drivers of the dynamics of resistance transmission from complex infection and evolutionary processes, as well as predict likely responses to policy change in silico. Here, we ask whether we know enough about antibiotic resistance for mathematical modelling to robustly and effectively inform policy. We consider in turn the challenges associated with capturing antibiotic resistance evolution using mathematical models, and with translating mathematical modelling evidence into policy.

conclusionsWe suggest that in spite of promising advances, we lack a complete understanding of key principles. From this we advocate for priority areas of future empirical and theoretical research.

Indexed as

Health PolicyModels, TheoreticalAnti-Bacterial AgentsDecision MakingDrug Resistance, MicrobialHumansAnti-Bacterial AgentsAntibiotic resistance (ABR)Antimicrobial resistance (AMR)Decision-makingDynamic modelling

Identifiers

PMID31783803
PMCPMC6884858

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.