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Antimicrobial resistance in India: A review
S Ganesh Kumar1, C Adithan, B N Harish
1Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Antimicrobial resistance (AMR) is rising in India, posing a significant public health threat. Urgent policy and research are needed to combat this growing challenge.
Area of Science:
- Public Health
- Infectious Diseases
- Pharmacology
Background:
- Antimicrobial resistance (AMR) is a global public health concern.
- India faces a significant and increasing burden of AMR, particularly in hospital settings.
- Limited community-based data and research on AMR determinants exist in India.
Purpose of the Study:
- To conduct a situational analysis of antimicrobial resistance in India.
- To identify the determinants, challenges, and future strategies for reducing AMR burden.
- To highlight the need for improved public health strategies and research.
Main Methods:
- Review and analysis of recent data from Google search, Medline, and other sources.
- Examination of hospital-based and community-based studies on AMR in India.
- Assessment of the public healthcare delivery system's role in AMR.
Main Results:
- Hospital-based studies reveal a high and regionally varied spectrum of antimicrobial resistance.
- There is a notable lack of comprehensive community-based AMR studies in India.
- Gaps exist in quantifying the AMR problem and its determining factors within the healthcare system.
Conclusions:
- India urgently requires strengthened antimicrobial policies and standard treatment guidelines.
- A national plan for AMR containment and increased public health research is essential.
- Addressing AMR necessitates improvements in both community and hospital-level healthcare delivery.
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