Understanding diagnostic challenges and identifying priorities to tackle antimicrobial resistance in conflict zones
Armed conflict is a key driver of antimicrobial resistance (AMR). Diagnostics are critical tools for limiting the impact of AMR where resources are limited. We analyse how conflict shifts the needs and deliverability of AMR diagnostics and identify opportunities to strengthen scope and capacity in these settings with persistent state-delivered health governance and policy. Key priorities include optimisation of robust diagnostic processing, workload and data sharing tools, and procurement policies suitable for resource-limited settings, including linked electronic workload and data-sharing tools with offline options, to support delivery of individual patient care, infection prevention and control, and surveillance.
Authors
- Olena V. Moshynets (ORCID: https://orcid.org/0000-0002-2209-8681)
- Matthew K. O’Shea (ORCID: https://orcid.org/0000-0001-6414-8088)
- David Leslie Paterson (ORCID: https://orcid.org/0000-0003-2079-4437)
- Souha Sami Kanj (ORCID: https://orcid.org/0000-0001-6413-3396)
- Raheelah Ahmad (ORCID: https://orcid.org/0000-0002-4294-7142)
- Hana Salaheldin Elbadawi (ORCID: https://orcid.org/0000-0003-2192-7932)
- Luke S. P. Moore (ORCID: https://orcid.org/0000-0001-7095-7922)
- Sara Elizabeth Boyd (ORCID: https://orcid.org/0000-0001-9935-5263)
- Scott J C Pallett (ORCID: https://orcid.org/0000-0002-9465-5299)
- Muzamil Mahdi Abdel Hamid
- Maria V. Villegas
Institutions
- University of Liverpool (GB)
- National Academy of Sciences of Ukraine (UA)
- University of Khartoum (SD)
- Imperial College Healthcare NHS Trust (GB)
- St George's, University of London (GB)
- National University of Singapore (SG)
- City, University of London (GB)
- Universidad El Bosque (CO)
- Queen Elizabeth Hospital Birmingham (GB)
- Chelsea and Westminster Hospital NHS Foundation Trust (GB)
- St George’s University Hospitals NHS Foundation Trust (GB)
- National Institute for Health and Care Research (GB)
- American University of Beirut Medical Center (LB)
- North West London Pathology (GB)
- Royal Centre for Defence Medicine (GB)
- Imperial College London (GB)
- Institute of Molecular Biology and Genetics (UA)
- University of Birmingham (GB)
Publication Details
- Journal
- Communications Medicine
- Published
- 2026-10-24
- DOI
- https://doi.org/10.1038/s43856-026-01866-2
- Primary Topic
- Antibiotic Use and Resistance
- Type
- article
- Field-Weighted Citation Impact
- 0.00