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Author Spotlight: Understanding and Detecting Environmental Antimicrobial Resistance by Combining Culture-Based Techniques and Genomics
Published on: July 19, 2024
Impact of vaccines on antimicrobial resistance
Philippe Buchy1, Sibel Ascioglu1, Yves Buisson2
1GSK, 23 Rochester Park, Singapore 139234, Singapore.
Drivers Of Antimicrobial Resistance:
Antibiotic use drives the development and spread of resistant bacterial infections. Antimicrobial resistance (AMR) has become a prolific global issue, due to significant increases in antibiotic use in humans, livestock and agriculture, inappropriate use (under-dosing and over-prescribing), and misuse of antibiotics (for viral infections where they are ineffective). Fewer new antibiotics are being developed.
The Problem Of Amr:
AMR is now considered a key threat to global health, leading to more mortality and increased healthcare costs threatening future conduct of routine medical procedures. Traditional approaches to address AMR include antibiotic stewardship, better hygiene/infection control, promoting antibiotic research and development, and restricting use for agricultural purposes.
Vaccines As A Tool To Reduce Amr:
While antibiotic development is declining, vaccine technology is growing. This review shows how vaccines can decrease AMR by preventing bacterial and viral infections, thereby reducing the use/misuse of antibiotics, and by preventing antibiotic-resistant infections. Vaccines are less likely to induce resistance. Some future uses and developments of vaccines are also discussed.
Conclusions:
Vaccines, along with other approaches, can help reduce AMR by preventing (resistant) infections and reducing antibiotic use. Industry and governments must focus on the development of novel vaccines and drugs against resistant infections to successfully reduce AMR. A graphical abstract is available online.
Insights
Antimicrobial resistance (AMR) is a growing global threat. Vaccines can help combat AMR by preventing infections and reducing antibiotic use, offering a promising complementary strategy.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Antibiotic use is a primary driver of antimicrobial resistance (AMR), a significant global health concern.
- Increased antibiotic use in humans, livestock, and agriculture, coupled with misuse and under-development of new antibiotics, exacerbates the AMR crisis.
- AMR threatens global health, increases mortality, raises healthcare costs, and jeopardizes routine medical procedures.
Purpose of the Study:
- To explore the potential of vaccines as a tool to combat antimicrobial resistance (AMR).
- To review how vaccine technology can be leveraged to decrease the incidence and spread of resistant infections.
- To discuss the role of vaccines in reducing overall antibiotic consumption and preventing the emergence of antibiotic-resistant bacteria.
Main Methods:
- Literature review of existing research on antimicrobial resistance (AMR) and vaccine development.
- Analysis of how vaccines prevent infections, thereby reducing the need for antibiotic treatment.
- Examination of the impact of vaccines on preventing the development and spread of antibiotic-resistant infections.
Main Results:
- Vaccines can decrease AMR by preventing both bacterial and viral infections, leading to reduced antibiotic use and misuse.
- Vaccination strategies can prevent the establishment and transmission of antibiotic-resistant bacterial infections.
- Vaccines are generally less likely to induce antimicrobial resistance compared to antibiotics.
Conclusions:
- Vaccines represent a crucial complementary strategy to traditional approaches in reducing AMR.
- Preventing infections through vaccination directly lowers antibiotic consumption and the selective pressure driving resistance.
- Continued investment in novel vaccine and drug development is essential for effectively mitigating the global threat of AMR.
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