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Antimicrobial Resistance: Global Report on Surveillance

Article  in  Australasian Medical Journal · May 2014


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and fluoroquinolone resistance to infectious diseases. Antimicrobial resistance: global report on Shigella species. the ones is succinct. resistance to beta- have had a tremendous effect on mortality and morbidity due lactams among S. WHO publications dealing 238 . and the delay in the economic consequences of AMR. WHO tools to facilitate surveillance of ABR. coli and K.dr.5 Streptococcus pneumoniae. Australasian Medical Journal [AMJ 2014. 5. many experts are concerned known to be associated with increased cost and increased about a return to a “pre-antibiotic” era. Among the bacteria causing involved. European Union countries in Europe lack national AMR rbalasubramaniummd@xusom. and Neisseria gonnorheae. The appendices mention the questionnaires used for data collection. For example. 7. The brief description of studies in a tabular form infections in both the community and in hospitals. Resistance has been development of new antibiotics. and non- Email: ravi. stresses the urgent need for action to tackle the AMR problem. reports on causing common infections in various WHO regions and resistance to specific antibiotics or antibiotic groups highlights significant gaps in surveillance. The report has focused media incidence of AMR. 7. aureus has This report on global antimicrobial resistance highlights been reported to be resistant to methicillin. surveillance 2014 The report is divided into six sections with a detailed Annex and Appendices. concern. aureus. while in the growing concerns about widespread resistance and describes Americas the percentage may be close to 90 per cent.shankar@gmail. Section 3 deals with the resistance to older antimicrobials. including: resistance to third-generation cephalosporins Most antimicrobials were discovered in the 20th century. Section 1 of the report focuses on Reviewed by: AMR surveillance mechanisms in various WHO regions. the ones studied were studies in this subject area. The report details resistance rates among selected which would be of interest to researchers and others bacteria in various WHO regions. Annex 3 deals with the burden of AMR/ABR studied were Escherichia coli. and through a systematic review of published evidence and is Stapylococcus aureus. coli resistance to third-generation cephalosporins and fluoroquinolones The foreword to the report by Dr Keiji Fukuda. I was Organization (WHO) and its member countries recently surprised by the spread of extensively drug-resistant TB released their first report on the magnitude of AMR and the (XDR-TB) around the globe. With the increasing problem of among Shigella species. Dr P Ravi Shankar. Health Security. current status of surveillance. Among the bacteria mainly causing important given the paucity of pharmacoeconomic infection in the community. Klebsiella pneumoniae. while in the South East Asian region attention towards this important and growing problem. the WHO’s and of S. they among E. 238-239] Book Review AMJ 2014. Section becoming a major public health problem. The how common disease-causing bacteria are now resistant to a Eastern Mediterranean and European regions show high wide variety of antibiotics. there are significant problems of E. and HIV/ The report The annexes deal with methods for collecting data on summary mentions high rates of resistance among bacteria surveillance and antibacterial resistance. Antimicrobial duration of treatment. countries (which comprises a major portion of the report).com surveillance mechanisms and data. but there is a dearth of studies resistance (AMR) and antibacterial resistance (ABR) are fast dealing with the economic consequences of AMR. assistant director general. among specific bacteria according to WHO regions or increasing levels of resistance have been noted in TB. Dr R Balasubramanium Many countries in Africa and the Middle East. Section 2 focuses on AMR/ABR in selected bacteria of international concern. In the WHO African region 80 per cent of S. nontyphoidal salmonella. pneumoniae. which are diseases of major public health The report mentions 320 publications dealing with AMR. malaria. The World Health 4 deals with AMR in disease-specific programs. aureus resistance to methicillin.

ISBN 978 92 4 156474 8. ICD10 codes for AMR. Australasian Medical Journal [AMJ 2014. The book has been well produced and provides up-to-date information about the serious threat of ABR around the world. and international antibacterial resistance surveillance networks. 238-239] with AMR. The terms AMR and ABR are used interchangeably in this report. which can sometimes be 564748_eng.who. 5. About the book: World Health Organization Antimicrobial resistance: Global report on surveillance 2014.pdf 239 View publication stats . 7. The report can be downloaded for free from http://apps.