A systematic review of One Health perspective on the use of antimicrobials in Nigeria
Abstract Background and aim: Nigeria, being the most populous country in Africa, faces a significant burden of antimicrobial resistance (AMR). This article aims to highlight the need for all sectors in One Health, including human and animal health, to work together in reducing the misuse of antimicr...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
CABI
2025-01-01
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| Series: | CABI One Health |
| Subjects: | |
| Online Access: | http://www.cabidigitallibrary.org/doi/10.1079/cabionehealth.2025.0004 |
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| Summary: | Abstract Background and aim: Nigeria, being the most populous country in Africa, faces a significant burden of antimicrobial resistance (AMR). This article aims to highlight the need for all sectors in One Health, including human and animal health, to work together in reducing the misuse of antimicrobials in Nigeria. Methodology: Past and present articles were systematically searched on electronic databases such as Google Scholar, ResearchGate, and PubMed within 10 years (2013–2023). Rayyan software was used for screening the articles. After the first screening, 100 (n = 100) articles met our inclusion criteria, while 63 articles were excluded. A total of 37 articles that met the objectives of this study were finally used. Results: There is irrational use of antimicrobials in Nigeria. A high prevalence of AMR was found in Nigeria. Results of a national survey of public awareness of AMR in Nigeria showed that about one-third of the general public uses antibiotics without a prescription. Poor knowledge, attitude, and practice of One Health towards AMR were found in most parts of Nigeria. Conclusion: To avert the escalation of AMR to critical levels within Nigeria, the Nigerian government and the general public need to work together in the spirit of self-reliance and honesty to take prompt, decisive, and substantive actions towards AMR control in Nigeria. One Health impact statement Combating antimicrobial resistance (AMR) has always involved the need for a One Health approach. This article aims to highlight the need for all sectors in One Health, including human and animal health, to work together in reducing the misuse of antimicrobials in Nigeria. The Nigeria Centre for Disease Control (NCDC), in 2017, launched a plan that utilizes a One Health approach in solving AMR. The plan included surveillance of antimicrobial use in One Health sector, scaling up vaccination in both humans and animals and improving the capacity of regulatory agencies across One Health sector (Nigeria Centre for Disease Control (NCDC), 2017). Though enforcement of these plans in Nigeria is still underway, Nigeria is still plagued with AMR as it received a score of 2.4 out of 5 in a recent evaluation (Abujah, 2023). This review aims to reiterate the importance of a One Health approach and highlights the progress of AMR eradication in Nigeria. |
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| ISSN: | 2791-223X |