Author/Authors :
danish khan, inam army college of medical sciences - base hospital, delhi cantt, india , mohan gupta, rajiv army hospital research and referral (r r), new delhi, india , sen, sourav armed forces medical college, pune, india , rajmohan, ks army college of medical sciences - base hospital, delhi cantt, india , kumar jindal, ashok armed forces medical college, pune, india , makkar, anuradha army college of medical sciences - base hospital, delhi cantt, india , rahman razi, fashiur allana college of pharmacy, pune, india , banerjee, priyanka army college of medical sciences - base hospital, delhi cantt, india , panda, pragyan army college of medical sciences - base hospital, delhi cantt, india , nair, g. lakshmi army college of medical sciences - base hospital, delhi cantt, india , kulhari, kanchan army college of medical sciences - base hospital, delhi cantt, india , singh, shilpi army hospital research and referral (r r), new delhi, india
Abstract :
modern diagnostic and therapeutic procedures including advanced surgeries, organ transplants, and immunotherapy are pillared by antimicrobial therapy. parallel to the rising incidence of infectious diseases, the menace of antimicrobial resistance (amr) emergedworldwide. developing countries are facing the brunt in epidemic proportions duetohugepopulation, substandard housing, overcrowding, rapid unplanned urbanization, deterioration in water and waste management systems, strained public health infrastructure, and limited resource allocation to healthcare. simultaneously, amr has adversely affected the outcome of military injuries. the risingproblemof amris discouraging the development of newerantimicrobials by the pharmaceutical industry. there has been a considerable impetus towards concept development; however, the magnitude of the problem overshadows the progress made towards the control of amr worldwide. there is a dire need to identify this threat, develop concerted multipronged strategy, develop infrastructure, foster expertise, and take coordinated and urgent steps to tackle the serious public health challenge. an intensified commitment needs to be taken up on a war footing at individual, local, national, regional, and international levels. this article discusses the overall concept for developing countries.
Keywords :
antimicrobial resistance , panresistance , totally drug resistant tuberculosis , hospital infection control , antimicrobial stewardship