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Published on: March 30, 2014
Antimicrobial resistance: international control strategies, with a focus on limited-resource settings
Carlos A Diazgranados1, Denise M Cardo, John E McGowan
1Department of Medicine (Infectious Diseases), Emory University School of Medicine, 49 Jesse Hill Jr Drive, Atlanta, GA 30303, USA. cdiazgr@emory.edu
Abstract:
Microorganisms resistant to multiple anti-infective agents have increased worldwide. These organisms threaten both optimal care of patients with infection as well as the viability of current healthcare systems. In addition, antimicrobials are valuable resources that enhance both prevention and treatment of infections. As resistance diminishes this resource, it is a societal goal to minimise resistance and therefore to reduce forces that produce resistance. This review considers strategies for minimising resistance that are needed at several different levels of responsibility, ranging from the patient care provider to international agencies. It then describes responses that might be appropriate according to the resources available for control, focusing on limited-resource settings. Antimicrobial resistance represents an international concern. Response to this problem demands concerted efforts from multiple sectors both in developed and developing countries, as well as the strengthening of multinational/international partnerships and regulations. Both medical and public health agencies should be in the forefront of these efforts.
Insights
Antimicrobial resistance is a growing global threat to healthcare. Minimizing resistance requires multi-level strategies and international cooperation, especially in resource-limited settings.
Area of Science:
- Microbiology
- Public Health
- Infectious Diseases
Background:
- Increasing global prevalence of multidrug-resistant microorganisms.
- Antimicrobial resistance threatens patient care and healthcare system sustainability.
- Antimicrobials are critical resources for infection prevention and treatment.
Purpose of the Study:
- To review strategies for minimizing antimicrobial resistance.
- To outline appropriate responses based on available resources, with a focus on limited-resource settings.
Main Methods:
- Literature review of strategies to minimize antimicrobial resistance.
- Analysis of multi-level responsibilities from patient care providers to international agencies.
- Focus on resource-appropriate interventions.
Main Results:
- Resistance necessitates societal efforts to minimize its drivers.
- Multi-level strategies are required, involving various stakeholders.
- International cooperation and regulation are crucial.
Conclusions:
- Antimicrobial resistance is an international concern requiring concerted, multi-sectoral efforts.
- Strengthening multinational partnerships and regulations is essential.
- Medical and public health agencies must lead these initiatives.
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