The burden of COVID-19 pandemic and antimicrobial resistance in lower and middle income countries
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Keywords

antimicrobial resistance; corona virus disease; antimicrobial stewardship; antimicrobial usages; public health

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The burden of COVID-19 pandemic and antimicrobial resistance in lower and middle income countries. (2023). Universitas Scientiarum, 28(2), 183-199. https://doi.org/10.11144/Javeriana.SC282.taoc
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Abstract

Antimicrobial resistance (AMR) is reported to be one of the biggest challenges being faced by modern medicine. With exponential increase in the number of resistance cases around the world, it is estimated that the number of deaths would shoot up to ten-fold in comparison to the present AMR mortality rate by 2050. The occurrence of coronavirus disease 2019 (COVID-19) pandemic somehow compromised the AMR research, infection prevention and control programs, its innovation and global health programs along with antimicrobial stewardship (AS). With current news of third wave around the world, the exact impact and duration of the concurrent COVID-19 waves on AMR and AS cannot be exactly evaluated due to insufficient reports. However, the situation could be speculated by surveying the amplification in the unmethodical use of antimicrobials, occurrence of more secondary bacterial and fungal infections during the second wave, extended hospital stay and adverse medical exigency in comparison to the first wave. COVID-19 has revealed the harsh reality that even countries with best medical facilities lagged behind to withstand national medical need during a pandemic. In such circumstances, the clinical and scientific communities need to understand that available global medical amenities are insufficient for a second pandemic in the form of AMR. Therefore, the international surveillance systems need highlight deficiencies in AMR containment and mitigate strategies for future challenges emerging due to AMR.

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