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
- Paul Gene Chung
- Phillip B. Murray
- Simon Iain Hay (ORCID: https://orcid.org/0000-0002-0611-7272)
- Daniel Aguilar (ORCID: https://orcid.org/0000-0001-7520-4508)
- Tomislav Meštrović (ORCID: https://orcid.org/0000-0002-8751-8149)
- Mr Chieh Han
- Mrs Nicole Davis Weaver (ORCID: https://orcid.org/0000-0002-7218-8992)
- Muir Gray (ORCID: https://orcid.org/0009-0009-3837-5696)
- 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
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
- 0.00