Antibiotic Use and Misuse in Maritime Settings: Challenges and Implications for Global Antimicrobial Resistance Response

This review discusses antibiotic misuse in maritime settings, highlighting the challenges of healthcare delivery and the implications for global antimicrobial resistance (AMR). The maritime sector operates in geographically isolated, resource-limited environments, leading to overprescription, self-medication, and reliance on broad-spectrum antibiotics. Limited diagnostic tools and medical oversight exacerbate these practices. The global connectivity of maritime trade is a significant driver of AMR dissemination. Addressing this issue requires collaboration between stakeholders, public health authorities, and policymakers. Strategies include enhancing seafarer training, integrating telemedicine, implementing portable diagnostic tools, raising awareness, and establishing international stewardship guidelines.