Insights into the burden of bacterial antimicrobial resistance (AMR) in the WHO Eastern Mediterranean Region: a crucial step towards evidence-informed and targeted public health interventions

study, A. baumannii predominated, with 80% being MDR organisms.Polymicrobial and fungal BSIs occurred later during hospitalization, highlighting evolving infection patterns in burn patients.Since both gram-positive and gram-negative infections occurred early in the admission, with polymicrobial infections more common later, initial targeted narrow-spectrum antimicrobial use is not possible.Instead, antimicrobial de-escalation should be prioritized once culture results are available.Additionally, infection prevention protocols and proper wound care should be strictly adhered to, to reduce BSIs. Conclusion:Our findings emphasise the need to shift focus from treating BSIs to preventing them through wound care and infection control.Broad-spectrum antibiotics should be used judiciously and quickly de-escalated to minimise AMR development.

Authors

Publication Details

Journal
International Journal of Infectious Diseases
Published
2025-02-28
DOI
https://doi.org/10.1016/j.ijid.2024.107638
Primary Topic
Antibiotic Use and Resistance
Type
article
Field-Weighted Citation Impact
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article

Insights into the burden of bacterial antimicrobial resistance (AMR) in the WHO Eastern Mediterranean Region: a crucial step towards evidence-informed and targeted public health interventions

Paul Gene Chung, Phillip B. Murray, Simon Iain Hay, Daniel Aguilar et al.
International Journal of Infectious Diseases
Antibiotic Use and Resistance
article

Insights into the burden of bacterial antimicrobial resistance (AMR) in the WHO Eastern Mediterranean Region: a crucial step towards evidence-informed and targeted public health interventions

Paul Gene Chung, Phillip B. Murray, Simon Iain Hay, Daniel Aguilar, Tomislav Meštrović, Mr Chieh Han, Mrs Nicole Davis Weaver, Muir Gray, Prof Christiane Dolecek, Prof Benn Sartorius, Prof Mohsen Naghavi, Mr Lucien R Swetschinski, Mrs Eve E Wool, Prof Kevin S Ikuta, Mrs Anna Gershberg Hayoon
article en

Abstract

study, A. baumannii predominated, with 80% being MDR organisms.Polymicrobial and fungal BSIs occurred later during hospitalization, highlighting evolving infection patterns in burn patients.Since both gram-positive and gram-negative infections occurred early in the admission, with polymicrobial infections more common later, initial targeted narrow-spectrum antimicrobial use is not possible.Instead, antimicrobial de-escalation should be prioritized once culture results are available.Additionally, infection prevention protocols and proper wound care should be strictly adhered to, to reduce BSIs. Conclusion:Our findings emphasise the need to shift focus from treating BSIs to preventing them through wound care and infection control.Broad-spectrum antibiotics should be used judiciously and quickly de-escalated to minimise AMR development.

International Journal of Infectious DiseasesVol. 152
Good health and well-being
Openalex Percentile: Top 93%
Antibiotic Use and Resistance
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