COVID-19 related antimicrobial resistance challenges and opportunities

Challenges

  • Resources directed away from AMR surveillance
  • Increase in pre-emptive antibiotic prescribing to prevent secondary bacterial infections
  • Antibiotic overuse in agribusiness
  • Delays in AMR legislation
  • Antimicrobial drug shortages
  • Empty pharmaceutical pipeline
  • USA withdrawal of support for WHO
  • Low public awareness of AMR
  • Crisis fatigue

Opportunities

  • Subsidise hospital AMR surveillance
  • Integrate AMR risk into investment practices
  • Prioritise antimicrobial stewardship programmes
  • Develop rapid diagnostics
  • Embrace One Health approach
  • Ban medically important antibiotics in agribusiness
  • Promote consumer and supplier/private sector awareness and action on food choices
  • Pass legislation (eg, DISARM and PASTEUR Acts)
  • Incentivise new antibiotics and other promising anti-infectives
  • Strengthen global collaboration and governance architecture
  • Enact PACCARB and UN IACG recommendations
  • Develop collaborative public information campaigns
  • Leverage infection control principles from COVID-19 experience

Source: Confronting antimicrobial resistance beyond the COVID-19 pandemic and the 2020 US election, The Lancet publication