Current overview of health technologies for antimicrobial resistance (AMR) management in hospitals: a scoping review, bibliometric analysis and technological prospecting.

内容摘要

Antimicrobial resistance (AMR) represents one of the greatest global public health challenges and is intensified by inappropriate antimicrobial use, mobility, and limited availability of novel therapeutic options. Digital health technologies have emerged as strategies to improve surveillance, prevention, clinical decision-making, and antimicrobial stewardship in hospital settings. This study mapped health technologies applied to AMR management through a scoping review combined with bibliometric analysis and technological prospecting. The review followed PRISMA-ScR guidance and included peer-reviewed studies published between 2000 and 2025. The approach identified not only implemented digital interventions but also publication trends, collaboration networks, and patent-stage innovation. Clinical decision-support systems, electronic surveillance platforms, and artificial intelligence applications were the most reported technologies, while patent analysis revealed innovations concentrated in diagnostics, predictive analytics, automated monitoring, and precision antimicrobial management. Digital technologies are becoming important components of AMR management; however, the evidence remains heterogeneous and mostly descriptive. Key barriers include limited interoperability, unequal infrastructure, insufficient real-world clinical validation, data governance concerns, and restricted implementation beyond hospital environments. Future research should prioritize validated, explainable, interoperable, and scalable digital ecosystems, with One Health integration considered a direction rather than a conclusion directly demonstrated by the hospital-based evidence mapped here.