Surveillance of antimicrobial resistance in low- and middle-income countries - Université Toulouse III - Paul Sabatier - Toulouse INP
Article Dans Une Revue Antimicrobial Resistance and Infection Control Année : 2021

Surveillance of antimicrobial resistance in low- and middle-income countries

Résumé

Data on comprehensive population-based surveillance of antimicrobial resistance is lacking. In low- and middle-income countries, the challenges are high due to weak laboratory capacity, poor health systems governance, lack of health information systems, and limited resources. Developing countries struggle with political and social dilemma, and bear a high health and economic burden of communicable diseases. Available data are fragmented and lack representativeness which limits their use to advice health policy makers and orientate the efficient allocation of funding and financial resources on programs to mitigate resistance. Low-quality data means soaring rates of antimicrobial resistance and the inability to track and map the spread of resistance, detect early outbreaks, and set national health policy to tackle resistance. Here, we review the barriers and limitations of conducting effective antimicrobial resistance surveillance, and we highlight multiple incremental approaches that may offer opportunities to strengthen population-based surveillance if tailored to the context of each country.
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hal-04150380 , version 1 (04-07-2023)

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Katia Iskandar, Laurent Molinier, Souheil Hallit, Massimo Sartelli, Timothy Craig Hardcastle, et al.. Surveillance of antimicrobial resistance in low- and middle-income countries. Antimicrobial Resistance and Infection Control, 2021, 10 (1), pp.63. ⟨10.1186/s13756-021-00931-w⟩. ⟨hal-04150380⟩
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