ArticleGlobal health action2024
Barriers and pathways to environmental surveillance of antibiotic resistance in middle- and low-income settings: a qualitative exploratory key expert study.
Article in Global health action, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Metagenomic surveillance identifies a high-risk antibiotic resistance profile in community wastewater: a pilot study from Pakistan.Naunyn-Schmiedeberg's archives of pharmacology · 2026Article
- Soil microbial and plant responses to increasing antibiotic concentration: a case study of five antibiotics.Applied and environmental microbiology · 2026Article
- 'Mind the gaps': stakeholder perspectives on addressing antimicrobial resistance in the environment in the Indian context.Global health action · 2025Article
- Stakeholder views on the implementation of the UK's Antimicrobial Resistance (AMR) National Action Plan (2019-2024) in relation to AMR in the environment.Global health action · 2025Article
- Optimal sampling frequency and site selection for wastewater and environmental surveillance of infectious pathogens: A value of information assessment.PLoS computational biology · 2025Article
- Article
- Global variation in antibiotic prescribing guidelines and the implications for decreasing AMR in the future.Frontiers in pharmacology · 2025Review
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
backgroundLocal and global surveillance of antibiotic resistance (ABR) has proven a challenge to implement effectively in low- and middleincome (LMI) settings. Environmental surveillance solutions are increasingly highlighted as a strategy to help overcome such problems, and thus to promote global health as well as the local management of ABR in LMI countries. While technical and scientific aspects of such solutions are being probed continuously, no study has investigated their practical feasibility.
objectiveExplore practical barriers for environmental surveillance of ABR in LMI countries, and pathways for surveillance experts to manage these.
methodsTo start charting this unknown territory, we conducted an explorative, qualitative interview study with key informants, applying a constructivist grounded theory approach to analyze the results.
resultsBarriers were identified across infrastructural, institutional and social dimensions, and pathways to manage them were mostly counterproductive from an ABR management perspective, including avoiding entire regions, applying substandard methods and failing to include local collaborators.
conclusionThe research community as well as international agencies, organizations and states have key roles and responsibilities for improving the prospects of feasible environmental ABR surveillance in LMI-settings.
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