This research proposal focuses on the global issue of antimicrobial resistance (AMR) in relation to occupation. Over the past few decades AMR became a topic of growing concern, as it is endangering medical treatment for bacterial infections. AMR is a complex and multifactorial issue, and literature has indicated that certain occupations are more at risk for developing resistant bacterial infections. This is partially due to higher exposure to antibiotics in these occupational settings, but comprehensive overviews, risk comparisons and guidelines are missing globally. Due to its comprehensive and high-quality data collection, Taiwan has an excellent opportunity to obtain a better understanding of the relation between antibiotic resistance and occupation. Besides national gains, Taiwanese insights will also contribute to the global actions against antibiotic resistance. This research plan is proposing to conduct a broad and inclusive study on the relation between antibiotic resistance and occupations, firstly by conducting a systematic review on scientific literature, management strategies, policies and management databases, a comprehensive understanding of the current knowledge and knowledge gaps will be achieved. Secondly, we propose to establish a retrospective data cohort by combining Bureau of Labor Insurance datasets and National Health Insurance datasets and appropriate statistical analysis will be conducted on the dataset to obtain current detailed information and risk assessments for specific occupations in Taiwan regarding antibiotic resistant infections. Lastly, this study proposes to communicate all its findings by the establishment of a bilingual handbook per occupation, to better manage the risk of antibiotic resistance in the near future. Furthermore, other experts and stakeholders will be consulted throughout the project by organizing expert meetings and field visits, to ensure multidisciplinary and transparency in addressing this complex global issue through collaboration.
agriculture and animal husbandry