Newer β-Lactam/β-Lactamase inhibitor for multidrug-resistant gram-negative infections: Challenges, implications and

Balaji Veeraraghavan1, Agila Kumari Pragasam1, Yamuna Devi Bakthavatchalam1

  • 1Department of Clinical Microbiology, Christian Medical College, Vellore, Tamil Nadu, India.

Insights

Antimicrobial resistance (AMR) in India is a growing threat, necessitating new strategies. This study reviews AMR in India and the role of newer beta-lactam/beta-lactamase inhibitor agents and national interventions to combat this public health crisis.

Area of Science:

  • Microbiology
  • Public Health
  • Infectious Diseases

Background:

  • Antimicrobial resistance (AMR) poses a significant global health challenge, with increasing rates limiting treatment options.
  • Beta-lactam antibiotics are crucial for Gram-negative infections but are threatened by diverse beta-lactamases.
  • Development of beta-lactamase inhibitors is essential to overcome resistance mechanisms.

Purpose of the Study:

  • To address the burden of antimicrobial resistance in India.
  • To evaluate the role of newer beta-lactam/beta-lactamase inhibitor agents in the Indian context.
  • To outline Indian Council of Medical Research interventions for combating drug resistance.

Main Methods:

  • Review of the current scenario of AMR in India, including antimicrobial susceptibility and resistance mechanisms.
  • Analysis of the use of beta-lactam/beta-lactamase inhibitors as carbapenem-sparing agents.
  • Examination of national surveillance and infection control strategies.

Main Results:

  • The study highlights the critical need for improved national surveillance systems in India.
  • It emphasizes the appropriateness of newer beta-lactam/beta-lactamase inhibitor agents for the Indian scenario.
  • Indian Council of Medical Research interventions are crucial for a national response to AMR.

Conclusions:

  • There is an urgent need for country-specific newer agents to combat antimicrobial resistance in India.
  • Enhanced national surveillance and infection control are vital for managing AMR.
  • A multi-faceted approach involving newer agents and robust surveillance is required to fight AMR in India.

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