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Characterising global antimicrobial resistance research explains why One Health solutions are slow in development: An application of AI-based gap analysis

Lookup NU author(s): Emeritus Professor David Graham

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).


Abstract

© 2024The global health crisis posed by increasing antimicrobial resistance (AMR) implicitly requires solutions based a One Health approach, yet multisectoral, multidisciplinary research on AMR is rare and huge knowledge gaps exist to guide integrated action. This is partly because a comprehensive survey of past research activity has never performed due to the massive scale and diversity of published information. Here we compiled 254,738 articles on AMR using Artificial Intelligence (AI; i.e., Natural Language Processing, NLP) methods to create a database and information retrieval system for knowledge extraction on research perfomed over the last 20 years. Global maps were created that describe regional, methodological, and sectoral AMR research activities that confirm limited intersectoral research has been performed, which is key to guiding science-informed policy solutions to AMR, especially in low-income countries (LICs). Further, we show greater harmonisation in research methods across sectors and regions is urgently needed. For example, differences in analytical methods used among sectors in AMR research, such as employing culture-based versus genomic methods, results in poor communication between sectors and partially explains why One Health-based solutions are not ensuing. Therefore, our analysis suggest that performing culture-based and genomic AMR analysis in tandem in all sectors is crucial for data integration and holistic One Health solutions. Finally, increased investment in capacity development in LICs should be prioritised as they are places where the AMR burden is often greatest. Our open-access database and AI methodology can be used to further develop, disseminate, and create new tools and practices for AMR knowledge and information sharing.


Publication metadata

Author(s): Chen C, Li S-L, Xu Y-Y, Liu J, Graham DW, Zhu Y-G

Publication type: Article

Publication status: Published

Journal: Environment International

Year: 2024

Volume: 187

Print publication date: 01/05/2024

Online publication date: 20/04/2024

Acceptance date: 19/04/2024

Date deposited: 20/05/2024

ISSN (print): 0160-4120

ISSN (electronic): 1873-6750

Publisher: Elsevier Ltd

URL: https://doi.org/10.1016/j.envint.2024.108680

DOI: 10.1016/j.envint.2024.108680

Data Access Statement: Data will be made available on request.


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Funding

Funder referenceFunder name
2021-DST-004
21936006
42021005
National Natural Science Foundation of China
Ningbo S&T project

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