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Author Spotlight: Understanding and Detecting Environmental Antimicrobial Resistance by Combining Culture-Based Techniques and Genomics
Published on: July 19, 2024
Menace of antimicrobial resistance in LMICs: Current surveillance practices and control measures to tackle hostility
Ayush Sharma1, Akanksha Singh1, Mukhtar Ahmad Dar1
1Department of Pharmacy Practice, National Institute of Pharmaceutical Education and Research (NIPER), Hajipur, Bihar, India.
Abstract:
Antimicrobial Resistance (AMR) is significant challenge humanity faces today, with many patients losing their lives every year due to AMR. It is more widespread and has shown a higher prevalence in low- and middle-income countries (LMICs) due to lack of awareness and other associated reasons. WHO has suggested some crucial guidelines and specific strategies such as antimicrobial stewardship programs taken at the institutional level to combat AMR. Creating awareness at the grassroots level can help to reduce the AMR and promote safe and effective use of antimicrobials. Control strategies in curbing AMR also comprise hygiene and sanitation as microbes travel from contaminated surroundings to the human body surface. As resistance to multiple drugs increases, vaccines can play a significant role in curbing the menace of AMR. This article summarizes the current surveillance practices and applied control measures to tackle the hostility in these countries with particular reference to the role of antimicrobial stewardship programs and the responsibilities of regulatory authorities in managing the situation.
Insights
Antimicrobial resistance (AMR) is a global health crisis, particularly in LMICs. Strategies like antimicrobial stewardship, awareness campaigns, and hygiene are crucial to combat AMR.
Area of Science:
- Public Health
- Infectious Diseases
- Microbiology
Background:
- Antimicrobial Resistance (AMR) poses a significant global health threat, leading to numerous patient deaths annually.
- AMR prevalence is higher in low- and middle-income countries (LMICs) due to factors including limited awareness.
Purpose of the Study:
- To summarize current surveillance practices and control measures for AMR.
- To highlight the role of antimicrobial stewardship programs and regulatory authorities in combating AMR, especially in LMICs.
Main Methods:
- Review of existing literature on AMR surveillance and control strategies.
- Analysis of World Health Organization (WHO) guidelines and institutional-level interventions.
- Focus on grassroots awareness, hygiene, sanitation, and vaccine development.
Main Results:
- Antimicrobial stewardship programs are recommended by WHO for institutional-level AMR control.
- Grassroots awareness creation and improved hygiene/sanitation are vital for reducing AMR.
- Vaccines present a potential future strategy against increasing multi-drug resistance.
Conclusions:
- A multi-faceted approach involving surveillance, stewardship, public awareness, hygiene, and potentially vaccines is necessary to combat AMR.
- Regulatory authorities play a critical role in managing the AMR situation effectively.
- Targeted strategies are essential for LMICs to mitigate the impact of AMR.
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