Antimicrobial resistance in the Pacific Island countries and territories.
antimicrobial resistance
antimicrobial stewardship
antimicrobial use
pacific island countries and territories
surveillance
Journal
BMJ global health
ISSN: 2059-7908
Titre abrégé: BMJ Glob Health
Pays: England
ID NLM: 101685275
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
19
02
2020
revised:
26
03
2020
accepted:
27
03
2020
entrez:
1
5
2020
pubmed:
1
5
2020
medline:
25
6
2021
Statut:
ppublish
Résumé
Antimicrobial resistance (AMR) is a critical global health threat with a disproportionate impact on low-income and middle-income countries (LMICs) due to their higher burden of infections, reduced laboratory surveillance infrastructure and fewer regulations governing antimicrobial use among humans or animals. While there have been increasing descriptions of AMR within many LMICs in WHO's Western Pacific and South East Asian regions, there remains a paucity of data from Pacific Island countries and territories (PICTs). The PICTs represent 22 predominantly middle-income countries and territories with a combined population of 12 million people and 20 official languages, spread over hundreds of separate islands spanning an area corresponding to more than 15% of the earth's surface. Our paper outlines the present state of the evidence regarding AMR in PICTs-discussing the present estimates of AMR and their accompanying limitations, important drivers of AMR, as well as outlining key priorities and potential solutions for tackling AMR in this region. Significant areas for action include developing National Action Plans, strengthening laboratory surveillance systems and educational activities targeted at both healthcare workers and the wider community. Ensuring adequate funding for AMR activities in PICTs is challenging given competing health and environmental priorities, in this context global or regional funding initiatives such as the Fleming Fund can play a key role.
Identifiants
pubmed: 32349993
pii: bmjgh-2020-002418
doi: 10.1136/bmjgh-2020-002418
pmc: PMC7213808
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
J Clin Microbiol. 2005 Sep;43(9):4826-9
pubmed: 16145150
J Prim Health Care. 2009 Mar;1(1):30-5
pubmed: 20690484
Lancet. 2016 Jan 16;387(10015):285-95
pubmed: 26603921
Int J Antimicrob Agents. 2016 Jul;48(1):27-32
pubmed: 27318624
Lancet Glob Health. 2019 Jan;7(1):e119-e131
pubmed: 30554748
J Glob Antimicrob Resist. 2019 Mar;16:81-82
pubmed: 30445212
Infect Dis Clin North Am. 2019 Mar;33(1):231-245
pubmed: 30712764
Paediatr Int Child Health. 2018 Nov;38(4):261-265
pubmed: 30079842
Pharm Pract (Granada). 2007 Jan;5(1):36-41
pubmed: 25214916
P N G Med J. 2009 Mar-Jun;52(1-2):28-34
pubmed: 21125988
Antibiotics (Basel). 2019 Mar 19;8(1):
pubmed: 30893880
PLoS Med. 2016 Nov 29;13(11):e1002184
pubmed: 27898664
Sex Transm Infect. 2013 Dec;89 Suppl 4:iv19-23
pubmed: 24243875
Proc Natl Acad Sci U S A. 2018 Apr 10;115(15):E3463-E3470
pubmed: 29581252
Trop Anim Health Prod. 2018 Oct;50(7):1547-1558
pubmed: 29679359
Lancet Glob Health. 2017 Dec;5(12):e1186-e1187
pubmed: 29132611
Curr Diab Rep. 2015 May;15(5):29
pubmed: 25809458
BMJ. 2017 Sep 5;358:j2687
pubmed: 28874365
Am J Trop Med Hyg. 2015 Nov;93(5):1031-7
pubmed: 26283748
Lancet. 2016 Jan 9;387(10014):188-98
pubmed: 26603919
J Antimicrob Chemother. 2017 Nov 1;72(11):2963-2972
pubmed: 28961709
Int J Food Microbiol. 2012 Jun 15;157(1):102-7
pubmed: 22607809
Int J Infect Dis. 2017 Apr;57:138-143
pubmed: 28216179
J Travel Med. 2019 Dec 23;26(8):
pubmed: 31115466
Intern Med J. 2019 Apr;49(4):461-466
pubmed: 30230153
Environ Int. 2018 Jan;110:160-172
pubmed: 29107352
BMJ Glob Health. 2019 May 9;4(3):e001239
pubmed: 31179029
Lancet. 2011 Jan 15;377(9761):228-41
pubmed: 21146207
Lancet. 2016 Jan 9;387(10014):168-75
pubmed: 26603918