Monday, January 24, 2022

Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis

Recommendable! This is a major study on this subject!

Antimicrobial resistance has been known to be a major health issue for several decades. It is somewhat surprising that we still do not have better remedies for it given all the rapid knowledge we are accumulating.

"... To our knowledge, this study provides the first comprehensive assessment of the global burden of AMR, as well as an evaluation of the availability of data. AMR is a leading cause of death around the world, with the highest burdens in low-resource settings. ...
On the basis of our predictive statistical models, there were an estimated 4.95 million (3·62–6·57) deaths associated with bacterial AMR in 2019, including 1.27 million (95% UI 0·911–1·71) deaths attributable to bacterial AMR. At the regional level, we estimated the all-age death rate attributable to resistance to be highest in western sub-Saharan Africa, at 27·3 deaths per 100 000 (20·9–35·3), and lowest in Australasia, at 6·5 deaths (4·3–9·4) per 100 000. Lower respiratory infections accounted for more than 1·5 million deaths associated with resistance in 2019, making it the most burdensome infectious syndrome. The six leading pathogens for deaths associated with resistance (Escherichia coli, followed by Staphylococcus aureus, Klebsiella pneumoniae, Streptococcus pneumoniae, Acinetobacter baumannii, and Pseudomonas aeruginosa) were responsible for 929 000 (660 000–1 270 000) deaths attributable to AMR and 3·57 million (2·62–4·78) deaths associated with AMR in 2019. ..."

Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis - The Lancet (open access)

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