Setting priorities for patient-centered surveillance of drug-resistant infections

Elizabeth A. Ashley, Alistair McLean, Francesca Chiara, Nicholas Feasey, Walter Jaoko, Japheth A. Opintan, Sharon J. Peacock, Priscilla Rupali, Paul Turner

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Methods: A priority-setting process (PSP) was launched to define priorities for patient-centered antimicrobial resistance (AMR) surveillance and research in low- and middle-income countries (LMICs). A list of uncertainties related to AMR surveillance in human health was generated using an online survey of stakeholders in LMICs, which asked for unanswered questions about diagnosis, treatment, or prevention of antibiotic resistance. Results: A total of 445 respondents generated 1076 questions that were mapped to a final shortlist of 107 questions. The most common theme was the treatment of drug-resistant infections, followed by diagnosis, then prevention, and requests for local AMR data. The most asked question was a request for local AMR data, revealing the lack of basic information in many LMICs to guide actions to tackle AMR. The steering group recommended three research areas to be prioritized for funding in the next five years: infection prevention and control in LMICs, improved electronic patient records, starting with laboratory information management systems, and sustainable behavior change among doctors and other health care professionals with a focus on diagnostic stewardship.

Original languageEnglish
Pages (from-to)60-65
Number of pages6
JournalInternational Journal of Infectious Diseases
Volume97
DOIs
Publication statusPublished - Aug 2020

Keywords

  • Antimicrobial resistance
  • drug-resistant infections
  • low- and middle-income countries
  • priority-setting
  • surveillance

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