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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
Antimicrobial resistance in New Zealand: the evidence and a call for action
Humphrey W Pullon1, John Gommans2, Mark G Thomas3
1Haematologist, Department of Haematology, Waikato Hospital, Hamilton.
Abstract:
AMR has been cited as the most significant health issue of the 21st century with potentially serious consequences for the health of global populations, including New Zealand, and its health system. Proactive approaches to combating AMR through better understanding of the causes will inform measures required to reduce potential threats. The Royal Australasian College of Physicians (RACP) identifies three pathogens where increased resistance is of concern and recommends collaborative responses to prevent emerging threats to New Zealand populations. An international best practice AMR programme would include antimicrobial stewardship (AMS) building on evidence, policy, organisational support, multidisciplinary teams and patient experience. The planned Ministry of Health-led collaborative approach to developing a national strategy and programme will provide sector direction. Implementation will require extensive engagement with the health sector and communities to develop joint solutions that prevent further increases in AMR.
Insights
Antimicrobial resistance (AMR) is a major global health threat. A national strategy and collaborative approach are needed in New Zealand to combat AMR and protect public health.
Area of Science:
- Public Health
- Infectious Diseases
- Health Policy
Background:
- Antimicrobial resistance (AMR) is a critical global health challenge with significant implications for New Zealand's population and health system.
- Understanding the drivers of AMR is essential for developing effective preventative measures.
- The Royal Australasian College of Physicians (RACP) highlights three key pathogens of concern and advocates for collaborative action.
Purpose of the Study:
- To outline the significance of AMR as a 21st-century health issue.
- To emphasize the need for proactive strategies and a better understanding of AMR causes.
- To support the development of a national AMR strategy and program in New Zealand.
Main Methods:
- Reviewing the impact of AMR on global and New Zealand health.
- Identifying pathogens of concern and recommended collaborative responses by RACP.
- Describing components of an international best practice AMR program, including antimicrobial stewardship (AMS).
Main Results:
- AMR poses serious risks to public health and healthcare systems.
- A collaborative, evidence-based approach is recommended, incorporating AMS principles.
- A Ministry of Health-led initiative aims to develop a national strategy.
Conclusions:
- A national strategy and program are crucial for directing efforts against AMR in New Zealand.
- Successful implementation requires broad engagement with the health sector and communities.
- Joint solutions are necessary to prevent further increases in antimicrobial resistance.
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