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Antimicrobial multidrug resistance in the era of COVID-19: a forgotten plight?
Eric Pelfrene1, Radu Botgros2, Marco Cavaleri2
1Office of Vaccines and Therapies for Infectious Diseases, Human Medicines Division, European Medicines Agency, 1083 HS, Amsterdam, The Netherlands. eric.pelfrene@ema.europa.eu.
Background:
Antimicrobial resistance (AMR) is a growing global problem to which the ongoing COVID-19 pandemic may further contribute. With resources deployed away from antimicrobial stewardship, evidence of substantial pre-emptive antibiotic use in COVID-19 patients and indirectly, with deteriorating economic conditions fuelling poverty potentially impacting on levels of resistance, AMR threat remains significant.
Main Body:
In this paper, main AMR countermeasures are revisited and priorities to tackle the issue are re-iterated. The need for collaboration is stressed, acknowledging the relationship between human health, animal health and environment ("One Health" approach). Among the stated priorities, the initiative by the European Medicines Regulatory Network to further strengthen the measures in combatting AMR is highlighted. Likewise, it is asserted that other emerging health threats require global collaboration with the One Health approach offering a valuable blueprint for action.
Conclusion:
The authors stress the importance of an integrated preparedness strategy to tackle this public health peril.
Insights
Antimicrobial resistance (AMR) is a growing threat, potentially worsened by COVID-19. Integrated strategies and global collaboration, using a "One Health" approach, are crucial to combat AMR.
Area of Science:
- Public Health
- Infectious Diseases
- Global Health Security
Background:
- Antimicrobial resistance (AMR) presents a significant global challenge, exacerbated by the COVID-19 pandemic.
- The pandemic diverted resources from antimicrobial stewardship and led to increased antibiotic use, potentially worsening AMR.
- Deteriorating economic conditions and poverty also contribute to the escalating AMR threat.
Discussion:
- This paper reviews key antimicrobial resistance countermeasures and reiterates priorities for addressing the issue.
- It emphasizes the necessity of a "One Health" approach, integrating human, animal, and environmental health for effective AMR control.
- The European Medicines Regulatory Network's initiative to enhance AMR measures is highlighted as a significant step.
Key Insights:
- Global collaboration is essential for tackling emerging health threats, with the "One Health" framework providing a model.
- An integrated preparedness strategy is vital for effectively managing the public health peril of AMR.
- Strengthening regulatory measures and fostering international cooperation are critical components of AMR counteraction.
Outlook:
- Continued focus on integrated strategies and global partnerships is necessary to mitigate the AMR crisis.
- The "One Health" approach offers a sustainable blueprint for addressing interconnected health challenges.
- Proactive and collaborative efforts are paramount to safeguard public health against antimicrobial resistance.
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