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The escalating threat of multidrug-resistant organisms: COVID-19 impact, global burden, and the Taiwanese experience

Chien-Ming Chao1, Jin-Wei Liu2, Hung-Jen Tang2

  • 1Department of Intensive Care Medicine, Chi Mei Medical Center, Tainan, Taiwan.

Expert Review of Anti-Infective Therapy
|January 24, 2026
PubMed
Abstract

Insights

The COVID-19 pandemic worsened antimicrobial resistance (AMR) by disrupting infection control and increasing multidrug-resistant organisms (MDROs). Strategic responses, like those in Taiwan, are crucial to combat this escalating global health threat.

Area of Science:

  • Global Health
  • Infectious Diseases
  • Microbiology

Background:

  • The COVID-19 pandemic created significant global health challenges.
  • Healthcare systems faced immense strain, impacting infection control and antimicrobial stewardship.
  • This led to an accelerated spread of antimicrobial resistance (AMR) and multidrug-resistant organisms (MDROs).

Purpose of the Study:

  • To review the indirect effects of the COVID-19 pandemic on AMR.
  • To analyze changes in antibiotic utilization, healthcare-associated infections, and resistance trends.
  • To present epidemiological data, focusing on Taiwan's MDRO landscape and responses.

Main Methods:

  • Review of global and regional epidemiological data on AMR and MDROs.
  • Analysis of antibiotic utilization patterns during the pandemic.
  • Case study examination of Taiwan's strategies and outcomes.

Main Results:

  • The pandemic exposed and intensified vulnerabilities in AMR control.
  • Disrupted antimicrobial oversight led to increased MDRO prevalence.
  • Taiwan's experience highlights the effectiveness of coordinated guidelines and AI-driven stewardship.

Conclusions:

  • Multidrug-resistant organisms (MDROs) pose a significant post-pandemic threat.
  • Integrated global policies, sustained surveillance, and innovation are essential for future AMR responses.
  • Taiwan's strategic approach offers valuable lessons for combating AMR.
Keywords:
Antimicrobial resistanceCOVID-19Taiwanartificial intelligencemultidrug-resistant organisms

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