Antimicrobial susceptibility of bacterial isolates from clinical specimens in four Pacific Island countries, 2017-2021.

Antibiotic resistance Antimicrobial Bacteriology Epidemiology Pacific islands Public health surveillance

Journal

The Lancet regional health. Western Pacific
ISSN: 2666-6065
Titre abrégé: Lancet Reg Health West Pac
Pays: England
ID NLM: 101774968

Informations de publication

Date de publication:
Mar 2023
Historique:
received: 01 11 2022
revised: 15 12 2022
accepted: 19 12 2022
entrez: 17 2 2023
pubmed: 18 2 2023
medline: 18 2 2023
Statut: epublish

Résumé

There are limited antimicrobial resistance (AMR) surveillance data from low- and middle-income countries, especially from the Pacific Islands region. AMR surveillance data is essential to inform strategies for AMR pathogen control. We performed a retrospective analysis of antimicrobial susceptibility results from the national microbiology laboratories of four Pacific Island countries - the Cook Islands, Kiribati, Samoa and Tonga - between 2017 and 2021. We focused on four bacteria that have been identified as 'Priority Pathogens' by the World Health Organization: Following deduplication, a total of 20,902 bacterial isolates was included in the analysis. The most common organism was Despite challenges, these Pacific Island laboratories were able to conduct AMR surveillance. These data provide valuable contemporary estimates of AMR prevalence, which will inform local antibiotic formularies, treatment guidelines, and national priorities for AMR policy. Supported by the National Health and Medical Research Council.

Sections du résumé

Background UNASSIGNED
There are limited antimicrobial resistance (AMR) surveillance data from low- and middle-income countries, especially from the Pacific Islands region. AMR surveillance data is essential to inform strategies for AMR pathogen control.
Methods UNASSIGNED
We performed a retrospective analysis of antimicrobial susceptibility results from the national microbiology laboratories of four Pacific Island countries - the Cook Islands, Kiribati, Samoa and Tonga - between 2017 and 2021. We focused on four bacteria that have been identified as 'Priority Pathogens' by the World Health Organization:
Findings UNASSIGNED
Following deduplication, a total of 20,902 bacterial isolates was included in the analysis. The most common organism was
Interpretation UNASSIGNED
Despite challenges, these Pacific Island laboratories were able to conduct AMR surveillance. These data provide valuable contemporary estimates of AMR prevalence, which will inform local antibiotic formularies, treatment guidelines, and national priorities for AMR policy.
Funding UNASSIGNED
Supported by the National Health and Medical Research Council.

Identifiants

pubmed: 36798514
doi: 10.1016/j.lanwpc.2022.100677
pii: S2666-6065(22)00292-9
pmc: PMC9926303
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100677

Informations de copyright

© 2022 Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

The authors have no relevant conflicts of interest to declare.

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Auteurs

Michael J Loftus (MJ)

Department of Infectious Diseases, The Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia.

Richard J Everts (RJ)

Nelson Bays Primary Health, Nelson, New Zealand.

Allen C Cheng (AC)

Department of Infectious Diseases, The Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia.
School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Perenise Eti (P)

Tupua Tamasese Mea'ole Hospital, Apia, Samoa.

Timote Fakasiieiki (T)

Vaiola Hospital, Nuku'alofa, Tonga.

Lupeoletalelei Isaia (L)

Tupua Tamasese Mea'ole Hospital, Apia, Samoa.

Enita Isopo (E)

Tungaru Central Hospital, Tarawa, Kiribati.

Adam W J Jenney (AWJ)

Department of Infectious Diseases, The Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia.
College of Medicine, Nursing and Health Sciences, Fiji National University, Suva, Fiji.

Viali Lameko (V)

Oceania University of Medicine, Apia, Samoa.

Hinauri Leaupepe (H)

Tupua Tamasese Mea'ole Hospital, Apia, Samoa.

Folototo Leavai (F)

Tupua Tamasese Mea'ole Hospital, Apia, Samoa.

Sue J Lee (SJ)

Department of Infectious Diseases, The Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia.

Mele Moungaevalu (M)

Vaiola Hospital, Nuku'alofa, Tonga.

Andrew J Stewardson (AJ)

Department of Infectious Diseases, The Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia.

Rosemary Tekoaua (R)

Tungaru Central Hospital, Tarawa, Kiribati.

Douglas Tou (D)

Rarotonga Hospital, Rarotonga, Cook Islands.

Geoffrey Wuatai (G)

Rarotonga Hospital, Rarotonga, Cook Islands.

Anton Y Peleg (AY)

Department of Infectious Diseases, The Alfred Hospital and Central Clinical School, Monash University, Melbourne, Australia.
Infection and Immunity Program, Monash Biomedicine Discovery Institute, Department of Microbiology, Monash University, Clayton, Australia.

Classifications MeSH