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Author Spotlight: Understanding and Detecting Environmental Antimicrobial Resistance by Combining Culture-Based Techniques and Genomics
Published on: July 19, 2024
Advances in pharmacovigilance initiatives surrounding antimicrobial resistance-Indian perspective
Laxminarayana Kurady Bairy1, Veena Nayak1, Avinash A1
1a Department of Pharmacology , Kasturba Medical College, Manipal University , Manipal , India.
Introduction:
In recent years the development of antimicrobial resistance has been accelerating, the discovery of new antimicrobial agents has slowed substantially in past decades.
Area Covered:
This review mainly focuses on the problem of antimicrobial resistance(AMR); the various contributor mechanisms, consequences and future of AMR. The review also highlights the irrational use of antimicrobials, improving their usage and problems associated with pharmacovigilance of antimicrobial resistance.
Expert Opinion:
Pharmacovigilance in the form of surveillance of antibiotic use is being done in 90% of the countries worldwide through the WHONET program developed by WHO. However, the data comes from a limited area of the globe. Data from every part of the world is required, so that there is geographical representation of every region. A major hurdle in quantifying the extent of antimicrobial resistance is the fact that there are several known microbes, that may turn out to be resistant to one or more of the several known antimicrobial agents. The global action plan initiated by WHO, if implemented successfully will definitely reduce AMR and will help in evaluating treatment interventions.
Insights
Antimicrobial resistance (AMR) is accelerating, with new drug discovery slowing. This review examines AMR mechanisms, consequences, and pharmacovigilance, highlighting the need for global surveillance and action plans to combat this growing threat.
Area of Science:
- Microbiology
- Pharmacology
- Public Health
Background:
- The accelerating development of antimicrobial resistance (AMR) is a significant global health concern.
- The discovery of new antimicrobial agents has markedly slowed in recent decades, exacerbating the AMR crisis.
Purpose of the Study:
- To review the multifaceted problem of antimicrobial resistance (AMR).
- To explore the various mechanisms contributing to AMR, its consequences, and future outlook.
- To highlight irrational antimicrobial use, strategies for improving antimicrobial stewardship, and pharmacovigilance challenges related to AMR.
Main Methods:
- This study is a comprehensive review of existing literature on antimicrobial resistance.
- It synthesizes information on AMR mechanisms, consequences, and future trends.
- The review also focuses on antimicrobial usage patterns and pharmacovigilance issues.
Main Results:
- Antimicrobial resistance (AMR) poses a substantial threat due to accelerating resistance and slowed drug discovery.
- Irrational antimicrobial use and inadequate pharmacovigilance contribute to the AMR problem.
- Global surveillance of antibiotic use, like the WHO's WHONET program, is ongoing but lacks complete geographical representation.
Conclusions:
- Effective pharmacovigilance and global surveillance are crucial for combating antimicrobial resistance (AMR).
- Expanding data collection worldwide is essential for a comprehensive understanding of AMR.
- Successful implementation of the WHO's global action plan is vital for reducing AMR and evaluating interventions.
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