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Antimicrobial Resistance in the Tropics

Makeda Semret1, Louis-Patrick Haraoui2

  • 1Infectious Diseases and Medical Microbiology McGill University Health Centre, 1001, Boul Decarie Bloc E, E05.1616, Montreal, Quebec H4A3J1, Canada.

Infectious Disease Clinics of North America
|February 5, 2019
PubMed

Insights

Antimicrobial resistance (AMR) is a growing global threat, especially impacting low- and middle-income nations. This article examines AMR"s drivers in the tropics and its impact on travelers and migrants.

Area of Science:

  • Global Health
  • Infectious Diseases
  • Microbiology

Background:

  • Antimicrobial resistance (AMR) is increasing globally, posing a significant threat to public health.
  • Low- and middle-income countries face heightened vulnerability due to weaker health systems.
  • Population mobility, including travel and migration, accelerates the worldwide spread of AMR.

Purpose of the Study:

  • To provide an overview of factors contributing to the emergence, spread, and persistence of AMR in tropical regions.
  • To discuss the clinical implications of AMR for travelers and migrants.
  • To highlight the specific challenges posed by antibiotic resistance in mobile populations.

Main Methods:

  • Literature review and synthesis of existing data on AMR.
  • Analysis of factors influencing AMR emergence and spread in tropical environments.
  • Case scenario-based discussion of clinical implications for mobile populations.

Main Results:

  • Identified key drivers of AMR in the tropics, including socioeconomic and environmental factors.
  • Highlighted the increased risk of harboring drug-resistant organisms among travelers and migrants.
  • Illustrated clinical challenges through common scenarios faced by mobile populations.

Conclusions:

  • AMR is a complex global crisis with particular implications for tropical regions and mobile populations.
  • Strengthening health systems in vulnerable countries is crucial to combat AMR.
  • Awareness and targeted interventions are needed to mitigate risks for travelers and migrants.
Keywords:
AntibioticsAntimicrobial resistanceCarbapenemaseESBLLMICTravelTropics

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