Current status of antimicrobial resistance in Indian healthcare system: combating antimicrobial resistance with
Ashish Shinde1, Athira Mohan1, Vani Mahathi Bulusu1
1Department of Translational Medicine, All India Institute of Medical Sciences, Bhopal, India.
Abstract:
This review provides a unique perspective by integrating antimicrobial resistance (AMR) data from Indian healthcare, with a particular emphasis on outpatient settings that are often overlooked in existing literature. Unlike previous reviews that primarily focus on hospital-acquired infections, this article explores the community dimension of AMR and its implications for public health. Furthermore, it introduces an innovative framework linking AMR mitigation strategies with precision medicine approaches, including pharmacogenomics, metabolomics, proteomics, and transcriptomics. By combining multi-omics insights with national surveillance data and stewardship initiatives, this review highlights the translational potential of personalized antimicrobial therapy tailored to the Indian healthcare ecosystem. This integrated perspective offers a novel direction for AMR research and policy, bridging the gap between genomic science and clinical application in resource-limited settings.
Insights
This review integrates antimicrobial resistance data from Indian outpatient settings, highlighting community-level impacts. It proposes a novel framework linking precision medicine and AMR mitigation for personalized therapies in India.
Area of Science:
- Public Health
- Genomics
- Infectious Diseases
Background:
- Antimicrobial resistance (AMR) is a growing global threat.
- Existing research often overlooks outpatient settings and community-level AMR data in India.
- There is a need for integrated approaches to combat AMR in resource-limited settings.
Purpose of the Study:
- To provide a unique perspective on AMR in Indian healthcare, focusing on outpatient settings.
- To explore the community dimension of AMR and its public health implications.
- To introduce an innovative framework linking AMR mitigation with precision medicine.
Main Methods:
- Review and integration of existing antimicrobial resistance (AMR) data from Indian healthcare.
- Emphasis on community and outpatient settings.
- Development of a framework connecting AMR mitigation strategies with precision medicine (pharmacogenomics, metabolomics, proteomics, transcriptomics).
Main Results:
- Highlights the under-explored community dimension of AMR in India.
- Presents a novel framework integrating multi-omics data with national surveillance and stewardship.
- Demonstrates the translational potential of personalized antimicrobial therapy in the Indian context.
Conclusions:
- An integrated approach combining multi-omics, surveillance, and stewardship is crucial for AMR control.
- Personalized antimicrobial therapy holds significant promise for the Indian healthcare ecosystem.
- This review offers a new direction for AMR research and policy, bridging genomics and clinical practice in resource-limited settings.
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