{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:06:00Z","timestamp":1790708760608,"version":"4.1.0"},"reference-count":76,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>Antibiotic resistance (ABR) presents a global threat to human health, animal health, and the environment. While ABR is a natural phenomenon, the overuse and misuse of antibiotics in human health, animal health, and food production is a major driver of ABR. As interactions between humans, animals, and the environment are central to the emergence and spread of ABR, adopting a One Health approach is essential to effectively address the issue. In this context, a large range of antibiotic stewardship interventions has been developed to optimize the use of antibiotics. However, we lack a comprehensive overview of the landscape of antibiotic stewardship interventions from a One Health perspective. To address this gap, we conducted a scoping review of existing policy interventions. The literature review used the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. We systematically searched three major databases to retrieve interventions meeting our inclusion criteria. We purposively sampled some of these interventions to illustrate the diversity of existing interventions. These sampled interventions were then assessed according to 26 variables related to their general characteristics, development and implementation mode, scope, One Health and equity dimensions, and impacts. We conducted a descriptive analysis on the data extracted to summarize the characteristics of the antibiotic stewardship interventions. The 29 selected interventions focus on communication with stakeholders and the general public, access to antibiotics and their usage, and antibiotic disposal. Regarding their One Health aspects, the interventions varied in terms of collaboration across sectors and levels, engagement with the private sector, and equity considerations. Strong livestock industry engagement, efficient legal and institutional frameworks and provision of alternatives to antibiotics acted as facilitators to intervention implementation and success. Interventions demonstrated effects in terms of changes in antibiotic use, antibiotic resistance, awareness, and practices, as well as impacts on animal health and productivity. This study highlights the persistent dominance of human health objectives in the design and implementation of One Health antibiotic stewardship interventions and the continuous need to strengthen evaluation of such interventions to better understand facilitators and barriers to their implementation as well as intervention impacts.<\/jats:p>","DOI":"10.3389\/fpubh.2025.1707695","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T07:11:09Z","timestamp":1769411469000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Exploring antibiotic stewardship interventions within a One Health context: a scoping review"],"prefix":"10.3389","volume":"13","author":[{"given":"L\u00e9o","family":"Delpy","sequence":"first","affiliation":[{"name":"ASTRE, University of Montpellier, CIRAD, INRAE","place":["Montpellier, France"]},{"name":"National Laboratory for Livestock and Veterinary Research, Senegalese Institute of Research in Agriculture","place":["Dakar, Senegal"]},{"name":"Center for Sociological and Economics Studies and Research (CLERSE), CNRS, University of Lille","place":["Villeneuve-d'Ascq, France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe Clifford","family":"Astbury","sequence":"additional","affiliation":[{"name":"School of Global Health, York University","place":["Toronto, ON, Canada"]},{"name":"Global Strategy Lab, York University","place":["Toronto, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier Kambere","family":"Kavulikirwa","sequence":"additional","affiliation":[{"name":"Department of Social and Preventive Medicine, School of Public Health, University of Montreal","place":["Montreal, QC, Canada"]},{"name":"Faculty of Veterinary Medicine, Catholic University of Graben","place":["Butembo, Democratic Republic of Congo"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mouhamadou Moustapha","family":"Sow","sequence":"additional","affiliation":[{"name":"National Laboratory for Livestock and Veterinary Research, Senegalese Institute of Research in Agriculture","place":["Dakar, Senegal"]},{"name":"Department of Public Health and Social Medicine, Faculty of Health Sciences, Gaston Berger University","place":["Saint Louis, Senegal"]},{"name":"Health Science Application and Research Laboratory, Gaston Berger University","place":["Saint Louis, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandrina","family":"Vandenput","sequence":"additional","affiliation":[{"name":"Health Sciences Library, University of Liege","place":["Liege, Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9cile","family":"Aenishaenslin","sequence":"additional","affiliation":[{"name":"D\u00e9partement de pathologie et microbiologie, Facult\u00e9 de m\u00e9decine v\u00e9t\u00e9rinaire, Universit\u00e9 de Montr\u00e9al","place":["Saint-Hyacinthe, QC, Canada"]},{"name":"Groupe de recherche en \u00e9pid\u00e9miologie des zoonoses et sant\u00e9 publique, Facult\u00e9 de m\u00e9decine v\u00e9t\u00e9rinaire, Universit\u00e9 de Montr\u00e9al","place":["Saint-Hyacinthe, QC, Canada"]},{"name":"Centre de recherche en sant\u00e9 publique de l\u2019Universit\u00e9 de Montr\u00e9al et CIUSSS du Centre-Sud-de-l\u2019\u00cele-de-Montr\u00e9al, Universit\u00e9 de Montr\u00e9al","place":["Montr\u00e9al, QC, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arne","family":"Ruckert","sequence":"additional","affiliation":[{"name":"Global Strategy Lab, York University","place":["Toronto, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ria","family":"Benko","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Institute of Clinical Pharmacy, University of Szeged","place":["Szeged, Hungary"]},{"name":"Albert Szent-Gy\u00f6rgyi Health Centre, Institute of Clinical Pharmacy, University of Szeged","place":["Szeged, Hungary"]},{"name":"Emergency Care Department, Albert Szent-Gy\u00f6rgyi Health Centre, University of Szeged","place":["Szeged, Hungary"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Wiktorowicz","sequence":"additional","affiliation":[{"name":"Dahdaleh Institute for Global Health Research, York University","place":["Toronto, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarra L.","family":"Penney","sequence":"additional","affiliation":[{"name":"Global Strategy Lab, York University","place":["Toronto, ON, Canada"]},{"name":"Dahdaleh Institute for Global Health Research, York University","place":["Toronto, ON, Canada"]},{"name":"Global Food & Health Systems Research, School of Global Health, York University","place":["Toronto, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. M.","family":"Viens","sequence":"additional","affiliation":[{"name":"School of Global Health, York University","place":["Toronto, ON, Canada"]},{"name":"Global Strategy Lab, York University","place":["Toronto, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Bordier","sequence":"additional","affiliation":[{"name":"ASTRE, University of Montpellier, CIRAD, INRAE","place":["Montpellier, France"]},{"name":"National Laboratory for Livestock and Veterinary Research, Senegalese Institute of Research in Agriculture","place":["Dakar, Senegal"]},{"name":"CIRAD, ASTRE","place":["Dakar, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"key":"ref1","volume-title":"Tackling drug-resistant infections globally: final report and 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