Trends in antimicrobial resistance education research: a bibliometric analysis

IF 4.5 2区医学 Q1 INFECTIOUS DISEASES

One Health Pub Date : 2025-06-26 DOI:10.1016/j.onehlt.2025.101120

Sara Farina , Gianluca Fevola , Andrea Adduci , Alessandra Maio , Alberto Lontano , Walter Ricciardi , Maria Rosaria Gualano , Leonardo Villani

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引用次数: 0

Abstract

Background

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.

Methods

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.

Results

The study analyzed 1124 documents published on AMR education between 1995 and 2023, with a 20.5 % annual growth in publications. Key journals included Antibiotics-Basel and PLOS ONE, while highly cited sources were Journal of Antimicrobial Chemotherapy and Clinical Infectious Diseases. 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.

Conclusions

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.

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抗菌药物耐药性教育研究趋势：文献计量学分析

抗生素耐药性（AMR）构成严重的公共卫生威胁，教育干预措施被认为是减轻其影响的关键。世界卫生组织（世卫组织）抗微生物药物耐药性全球行动计划强调认识和教育是基本战略。鉴于人类、动物和环境卫生在抗菌素耐药性的发展和传播中存在复杂的相互作用，教育举措正日益纳入“同一个健康”方针。本研究旨在探讨医疗保健专业人员和一般人群在抗菌素耐药性教育方面的科学成果。方法对Web of Science Core Collection数据库截至2023年12月的AMR教育文献进行文献计量学分析。使用Bibliometrix R软件包中的Biblioshiny工具，分析涵盖了生产力指标、引用影响、关键词共现和主题映射。结果该研究分析了1995年至2023年间发表的1124篇关于AMR教育的文献，出版物年增长率为20.5%。重点期刊为《抗生素-巴塞尔》和《公共科学图书馆·综合》，高被引期刊为《抗菌化疗与临床传染病》。伦敦大学（University of London）和美国在机构和国家贡献方面领先。“知识”、“态度”和“管理”等关键词是中心，反映了对教育举措的关注。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，显示出该领域研究的动态和扩张性。抗微生物药物耐药性教育研究的扩大反映了全球通过有针对性的教育战略打击抗微生物药物耐药性的决心日益增强。将抗微生物药物耐药性教育纳入“同一个健康”方针，可通过处理各部门相互关联的耐药性驱动因素，提高其有效性。我们的研究结果强调了维持国际合作和使抗菌素耐药性教育工作与国家政策保持一致的重要性。未来的研究应强调跨学科的方法和创新的方法，以解决不同人群抗菌素耐药性的复杂挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

One Health Medicine-Infectious Diseases

CiteScore

8.10

自引率

4.00%

发文量

审稿时长

18 weeks

期刊介绍： One Health - a Gold Open Access journal. The mission of One Health is to provide a platform for rapid communication of high quality scientific knowledge on inter- and intra-species pathogen transmission, bringing together leading experts in virology, bacteriology, parasitology, mycology, vectors and vector-borne diseases, tropical health, veterinary sciences, pathology, immunology, food safety, mathematical modelling, epidemiology, public health research and emergency preparedness. As a Gold Open Access journal, a fee is payable on acceptance of the paper. Please see the Guide for Authors for more information. Submissions to the following categories are welcome: Virology, Bacteriology, Parasitology, Mycology, Vectors and vector-borne diseases, Co-infections and co-morbidities, Disease spatial surveillance, Modelling, Tropical Health, Discovery, Ecosystem Health, Public Health.