Advancing Planetary Health in Australia: focus on emerging infections and antimicrobial resistance

Hill-Cawthorne, Grant; Negin, Joel; Capon, Tony; Gilbert, Gwendolyn L; Nind, Lee; Nunn, Michael; Ridgway, Patricia; Schipp, Mark; Firman, Jenny; Sorrell, Tania C; Marais, Ben J

Nightmare scenario â–º Global spread and dominance of totally antimicrobial resistant pathogensreturning to the preantibiotic era Priorities for future research/policy â–º Environmental impact of antimicrobial use in humans, animals and crops â–º Emerging bacterial resistance to biocides and disinfectants. â–º AMR transmission from and to companion animals. â–º Balancing food production capacity with AMR concerns. â–º Need for comprehensive AMR surveillance; understanding the selection, expansion and spread of multidrug-resistant mobile genetic elements (mapping the mobile gene pool). â–º Antibiotic stewardship-understanding why doctors prescribe and patients demand, antimicrobials inappropriately. â–º Better infection control within health and aged care facilities. â–º Point-of-care diagnostics (including rapid species identification and drug susceptibility testing). â–º Use of highly selective bacteriophage therapy. â–º Adaptive clinical trial designs for rapid assessment of multidrug regimens â–º Alternative drug development funding models that considers the public good. â–º Non-antimicrobial approaches to controlling infections.