{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T20:29:08Z","timestamp":1773865748593,"version":"3.50.1"},"reference-count":14,"publisher":"American Society for Microbiology","issue":"3","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["Appl Environ Microbiol"],"published-print":{"date-parts":[[2026,3,18]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:p>Antimicrobial resistance (AMR) is a global health threat predicted to hit 10 million deaths per year by 2050. Most conventional antimicrobial stewardship (AMS) strategies focus on clinical settings, failing to address community-level overuse, a primary driver of AMR in low- and middle-income countries. This commentary leverages novel evidence to argue for the prioritization of water, sanitation, and hygiene (WASH)-nutrition integration as a global health policy and first-line defense strategy against AMR. This argument is grounded on a target article that utilized causal mediation analysis to establish how low-cost household level WASH and nutrition interventions reduced pediatric antibiotic use via multiple biological pathways. This transforms prevention into a measurable antimicrobial defense strategy through antibiotic doses averted and limits antibiotic demand. These findings provide an empirical basis for integrated preventive measures, a quantifiable scorecard for securing political and fiscal commitment and redefinition of AMS as an element of global health policy and environmental conservation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1128\/aem.02533-25","type":"journal-article","created":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T14:01:40Z","timestamp":1771336900000},"update-policy":"https:\/\/doi.org\/10.1128\/asmj-crossmark-policy-page","source":"Crossref","is-referenced-by-count":0,"title":["WASH-nutrition integration as a global policy priority for antimicrobial stewardship in low- and middle-income countries"],"prefix":"10.1128","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4480-462X","authenticated-orcid":false,"given":"O. 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