20/01/2026
The following message is courtesy of Dr Raffaella Ravinetto, Public Health Department, Institute of Tropical Medicine Antwerp, Belgium.
Ref M Lambert, S Aljadeeah, N Nasir, F Sila, L Lopes, C Llor. Reducing antibiotic exposure to combat antimicrobial resistance: rethinking use, packaging, and dispensing practices. The Lancet Primary Care, 2025, 100084, https://www.thelancet.com/journals/lanprc/article/PIIS3050-5143(25)00084-6/fulltext
Dear Friends,
Today I would like to share an open access Viewpoint authored, among others, by my colleague Saleh Aljadeeah in The Lancet Primary Care.
After framing the global health threat represented by AMR in the broader context of structural inequities, weak regulatory systems, and low access to care in LMICs, the authors discuss the possible strategies to reduce unnecessary antibiotic exposure.
These include, but are not limited to, optimizing antibiotic treatment via evidence-based shorter antibiotic courses; addressing barriers to treatment adherence, via patient-centred approaches; correcting context-related determinants of poor adherence, such as poor diagnostic infrastructure, limited access/affordability, and weak supply chain etc.; reducing unregulated use of leftovers, by reforming antibiotics packaging and adopting exact-dose dispensing; reducing antibiotics use without prescription and combating substandard and falsified antibiotics. The latter requires addressing the underlying causes, by strengthening regulation and healthcare access, expanding universal health coverage, and making rapid diagnostic tests affordable.
Reading the full text clearly shows that efficiently combating and preventing AMR to preserve antibiotic effectiveness for future generations. requires integrated strategies that address systemic barriers, including the social determinants of poor use.
Have a nice reading,
Raffaella