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Coronavirus Disease 2019 and Antimicrobial Resistance: Parallel and Interacting Health Emergencies

Robby Nieuwlaat1, Lawrence Mbuagbaw1,2, Dominik Mertz1,3

  • 1Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|June 17, 2020
PubMed

Insights

The COVID-19 pandemic offers insights into the long-term effects of antimicrobial resistance (AMR). Understanding these interactions is crucial for developing strategies to combat AMR and future health crises.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Microbiology

Background:

  • The COVID-19 pandemic and antimicrobial resistance (AMR) represent parallel global health emergencies.
  • These crises share comparable measures and consequences, offering opportunities for mutual learning.
  • Increased antimicrobial use in treating COVID-19 patients may exacerbate AMR.

Purpose of the Study:

  • To analyze the interplay between the COVID-19 pandemic and antimicrobial resistance (AMR).
  • To illustrate the potential long-term impact of AMR using the COVID-19 pandemic as a model.
  • To inform future strategies for combating AMR by understanding pandemic-related trends.

Main Methods:

  • Comparative analysis of pandemic response measures and their effects on AMR.
  • Review of existing literature on antimicrobial usage during the COVID-19 pandemic.
  • Exploration of potential impacts of COVID-19 policies on AMR trends.

Main Results:

  • The COVID-19 pandemic can serve as a proxy to understand the less acute but critical long-term consequences of AMR.
  • Interventions aimed at controlling COVID-19 spread may inadvertently influence AMR.
  • Antimicrobial stewardship is challenged by the need to treat critically ill COVID-19 patients.

Conclusions:

  • Understanding the dynamic between COVID-19 and AMR is essential for effective public health planning.
  • Continued data collection is vital to measure the impact of COVID-19 policies on AMR.
  • Proactive strategies are needed to mitigate AMR escalation during and after pandemics.

Keywords:
COVID-19SARS-CoV-2antibiotic resistanceantimicrobial resistance

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