Shiloh
Editor, Senior Moderator
Source: http://wwwnc.cdc.gov/eid/article/20/3/12-1157_article.htm
Volume 20, Number 3?March 2014
Policy Review
Surveillance for Antimicrobial Drug Resistance in Under-Resourced Countries
Guy VernetComments to Author , Catherine Mary, Dany M. Altmann, Ogobara Doumbo, Susan Morpeth, Zulfiqar A. Bhutta, and Keith P. Klugman
Author affiliations: Fondation M?rieux, Lyon, France (G. Vernet); Avicenne, Lyon (C. Mary); The Wellcome Trust and Imperial College, London, UK (D.M. Altmann); Malaria Research and Training Center, Bamako, Mali (O. Doumbo); Kenya Medical Research Institute?Wellcome Trust Research Programme, Kilifi, Kenya (S. Morpeth); University of Oxford, Oxford, UK (S. Morpeth); The Aga Khan University, Karachi, Pakistan (Z.A. Bhutta); Emory University, Atlanta, Georgia, USA (K.P. Klugman); University of the Witwatersrand, Johannesburg, South Africa (K.P. Klugman)
Abstract
Antimicrobial drug resistance is usually not monitored in under-resourced countries because they lack surveillance networks, laboratory capacity, and appropriate diagnostics. This accelerating problem accounts for substantial number of excess deaths, especially among infants. Infections particularly affected by antimicrobial drug resistance include tuberculosis, malaria, severe acute respiratory infections, and sepsis caused by gram-negative bacteria. Nonetheless, mapping antimicrobial drug resistance is feasible in under-resourced countries, and lessons can be learned from previous successful efforts. Specimen shipping conditions, data standardization, absence of contamination, and adequate diagnostics must be ensured. As a first step toward solving this problem, we propose that a road map be created at the international level to strengthen antimicrobial resistance surveillance in under-resourced countries. This effort should include a research agenda; a map of existing networks and recommendations to unite them; and a communication plan for national, regional, and international organizations and funding agencies...
Volume 20, Number 3?March 2014
Policy Review
Surveillance for Antimicrobial Drug Resistance in Under-Resourced Countries
Guy VernetComments to Author , Catherine Mary, Dany M. Altmann, Ogobara Doumbo, Susan Morpeth, Zulfiqar A. Bhutta, and Keith P. Klugman
Author affiliations: Fondation M?rieux, Lyon, France (G. Vernet); Avicenne, Lyon (C. Mary); The Wellcome Trust and Imperial College, London, UK (D.M. Altmann); Malaria Research and Training Center, Bamako, Mali (O. Doumbo); Kenya Medical Research Institute?Wellcome Trust Research Programme, Kilifi, Kenya (S. Morpeth); University of Oxford, Oxford, UK (S. Morpeth); The Aga Khan University, Karachi, Pakistan (Z.A. Bhutta); Emory University, Atlanta, Georgia, USA (K.P. Klugman); University of the Witwatersrand, Johannesburg, South Africa (K.P. Klugman)
Abstract
Antimicrobial drug resistance is usually not monitored in under-resourced countries because they lack surveillance networks, laboratory capacity, and appropriate diagnostics. This accelerating problem accounts for substantial number of excess deaths, especially among infants. Infections particularly affected by antimicrobial drug resistance include tuberculosis, malaria, severe acute respiratory infections, and sepsis caused by gram-negative bacteria. Nonetheless, mapping antimicrobial drug resistance is feasible in under-resourced countries, and lessons can be learned from previous successful efforts. Specimen shipping conditions, data standardization, absence of contamination, and adequate diagnostics must be ensured. As a first step toward solving this problem, we propose that a road map be created at the international level to strengthen antimicrobial resistance surveillance in under-resourced countries. This effort should include a research agenda; a map of existing networks and recommendations to unite them; and a communication plan for national, regional, and international organizations and funding agencies...