Sangam: A Confluence of Knowledge Streams

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

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dc.creator Knight, Gwenan M.
dc.creator Davies, Nicholas G.
dc.creator Colijn, Caroline
dc.creator Coll, Francesc
dc.creator Donker, Tjibbe
dc.creator Gifford, Danna R.
dc.creator Glover, Rebecca E.
dc.creator Jit, Mark
dc.creator Klemm, Elizabeth
dc.creator Lehtinen, Sonja
dc.creator Lindsay, Jodi A.
dc.creator Lipsitch, Marc
dc.creator Llewelyn, Martin J.
dc.creator Mateus, Ana L. P.
dc.creator Robotham, Julie V.
dc.creator Sharland, Mike
dc.creator Stekel, Dov
dc.creator Yakob, Laith
dc.creator Atkins, Katherine E.
dc.date 2020-10-07T13:32:07Z
dc.date 2019-11-29
dc.date 2020-10-07T13:32:07Z
dc.date.accessioned 2022-05-18T11:04:00Z
dc.date.available 2022-05-18T11:04:00Z
dc.identifier Knight, G.M., Davies, N.G., Colijn, C. et al. Mathematical modelling for antibiotic resistance control policy: do we know enough?. BMC Infect Dis 19, 1011 (2019). https://doi.org/10.1186/s12879-019-4630-y
dc.identifier 1471-2334
dc.identifier https://nrs.harvard.edu/URN-3:HUL.INSTREPOS:37365595
dc.identifier 10.1186/s12879-019-4630-y
dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/26599
dc.description Background Antibiotics 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. Conclusions We 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.
dc.description Version of Record
dc.format application/pdf
dc.language en_US
dc.publisher Springer Science and Business Media LLC
dc.relation BMC Infectious Diseases
dc.source BMC Infect Dis
dc.subject Infectious Diseases
dc.title Mathematical modelling for antibiotic resistance control policy: do we know enough?
dc.type Journal Article


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