Farina Sara, Fevola Gianluca, Adduci Andrea, Maio Alessandra, Lontano Alberto, Ricciardi Walter, Gualano Maria Rosaria, Villani Leonardo
Sezione di Igiene, Dipartimento Universitario di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy.
UniCamillus-Saint Camillus International University of Health Sciences, Rome, Italy.
One Health. 2025 Jun 26;21:101120. doi: 10.1016/j.onehlt.2025.101120. eCollection 2025 Dec.
Antimicrobial resistance (AMR) poses a severe public health threat, with educational interventions recognized as pivotal in mitigating its impact. The World Health Organization (WHO) Global Action Plan on AMR emphasizes awareness and education as fundamental strategies. Given the complex interplay between human, animal, and environmental health in the development and spread of AMR, educational initiatives are increasingly being framed within a One Health approach. This study aims to examine the scientific production on AMR education of healthcare professionals and the general population.
A bibliometric analysis was performed on AMR education literature on the Web of Science Core Collection database up to December 2023. Using the Biblioshiny tool within the Bibliometrix R package, the analysis covered productivity metrics, citation impact, keyword co-occurrence, and thematic mapping.
The study analyzed 1124 documents published on AMR education between 1995 and 2023, with a 20.5 % annual growth in publications. Key journals included and , while highly cited sources were and . The University of London and the US led in institutional and country contributions. Keywords like "knowledge", "attitudes", and "stewardship" were central, reflecting the focus on educational initiatives. Thematic evolution revealed significant growth, with the number of themes increasing from four in 1995-2008 to 20 by 2021-2023, demonstrating the dynamic and expanding nature of research in this field.
The expansion of AMR education research reflects growing global commitment to combating AMR through targeted educational strategies. Framing AMR education within the One Health approach may enhance its effectiveness, by addressing the interconnected drivers of resistance across sectors. Our findings highlight the importance of sustaining international collaboration and aligning AMR educational efforts with national policies. Future research should emphasize interdisciplinary approaches and innovative methods to address the complex challenges of AMR across diverse populations.
抗菌药物耐药性（AMR）对公众健康构成严重威胁，教育干预措施被认为是减轻其影响的关键。世界卫生组织（WHO）的AMR全球行动计划强调提高认识和开展教育是基本战略。鉴于在AMR的发展和传播过程中，人类、动物和环境卫生之间存在复杂的相互作用，教育倡议越来越多地以“同一健康”方法为框架。本研究旨在考察关于医疗保健专业人员和普通人群的AMR教育的科研成果。
对截至2023年12月的Web of Science核心合集数据库中关于AMR教育的文献进行文献计量分析。使用Bibliometrix R包中的Biblioshiny工具，该分析涵盖了生产力指标、引文影响力、关键词共现和主题映射。
该研究分析了1995年至2023年间发表的1124篇关于AMR教育的文献，出版物的年增长率为20.5%。主要期刊包括[具体期刊名称1]和[具体期刊名称2]，而被高度引用的文献来源是[具体文献名称1]和[具体文献名称2]。伦敦大学和美国在机构和国家贡献方面领先。“知识”“态度”和“管理”等关键词处于核心地位，反映了对教育倡议的关注。主题演变显示出显著增长，主题数量从1995 - 2008年的4个增加到2021 - 2023年的20个，表明该领域研究具有动态性和扩展性。
AMR教育研究的扩展反映出全球越来越致力于通过有针对性的教育战略来对抗AMR。通过解决跨部门耐药性的相互关联驱动因素，将AMR教育置于“同一健康”方法框架内可能会提高其有效性。我们的研究结果强调了维持国际合作以及使AMR教育努力与国家政策保持一致的重要性。未来的研究应强调跨学科方法和创新方法，以应对不同人群中AMR的复杂挑战。
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