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Isolation and Identification of Waterborne Antibiotic-Resistant Bacteria and Molecular Characterization of their Antibiotic Resistance Genes
Published on: March 3, 2023
Antibiotic resistance. An impending crisis
1Infection Prevention and Control Program, National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.
Abstract:
The global emergence of antimicrobial resistance has become a pre-eminent concern in medicine and public health. Antimicrobial resistance is of particular concern because the problem is widespread, the causative factors are uncontrolled, and national strategies to address the problem are lacking. The persisting burden of infectious diseases makes elimination of antibiotic use unethical, but dramatic overuse and misuse of antimicrobial agents around the world must be reduced to extend the useful lifetimes of these drugs. Population genetic models suggest that resistance emerges rapidly under the selective pressure of antibiotics, but decays slowly once that pressure is removed. Hence, measures to prevent the emergence of resistance must be implemented urgently. A multiplicity of factors drive antibiotic resistance, and solutions require the collaboration of governmental agencies, the pharmaceutical companies, healthcare providers, and consumers. Leadership in the form of a national steering committee on antimicrobial resistance is needed in the Kingdom of Saudi Arabia to guide collective action to control the threat of antibiotic resistance.
Insights
Antimicrobial resistance is a major global health threat due to overuse and misuse of antibiotics. Urgent action and national strategies are needed to combat this widespread and escalating problem.
Area of Science:
- Public Health
- Infectious Diseases
- Pharmacology
Background:
- Antimicrobial resistance (AMR) is a critical global concern impacting medicine and public health.
- Factors contributing to AMR are widespread and inadequately controlled, with a lack of comprehensive national strategies.
- Reducing the overuse and misuse of antimicrobial agents is essential to prolong the efficacy of existing antibiotics.
Purpose of the Study:
- To highlight the urgent need for strategies to combat the global emergence of antimicrobial resistance.
- To emphasize the role of population genetic models in understanding resistance development.
- To advocate for collaborative, leadership-driven action to control antibiotic resistance.
Main Methods:
- Review of the global emergence and drivers of antimicrobial resistance.
- Analysis of population genetic models illustrating resistance emergence and decay dynamics.
- Assessment of the multifaceted factors contributing to the AMR crisis.
Main Results:
- Antimicrobial resistance emerges rapidly under antibiotic selective pressure and decays slowly.
- The problem is exacerbated by widespread overuse and misuse of antimicrobial agents.
- Existing national strategies are insufficient to address the escalating threat.
Conclusions:
- Urgent implementation of resistance prevention measures is critical.
- Collaborative efforts involving government, industry, healthcare providers, and consumers are necessary.
- A national steering committee is recommended for the Kingdom of Saudi Arabia to guide AMR control efforts.
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