Antimicrobial surveillance: A 20-year history of the SMART approach to addressing global antimicrobial resistance into the future.

Autor: Cantón R; Servicio de Microbiología, Hospital Universitario Ramón y Cajal and Instituto de Investigación Sanitaria (IRYCIS), Madrid, Spain; CIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain., Gottlieb T; Department of Infectious Diseases and Microbiology, Concord Hospital, Concord, NSW, Australia., Coombs GW; Royal Perth Hospital and Fiona Stanley Hospital, Murdoch, WA, Australia; Murdoch University, Murdoch, WA, Australia., Woo PCY; PhD Program in Translational Medicine and Department of Life Sciences, National Chung Hsing University, Taichung 402, Taiwan; The iEGG and Animal Biotechnology Research Center, National Chung Hsing University, Taichung 402, Taiwan; Department of Microbiology, Li Ka Shing Faculty of Medicine, The University of Hong Kong Pokfulam, Hong Kong., Korman TM; PathWest Laboratory Medicine, Fiona Stanley Hospital, Murdoch, WA, Australia; and the Australian Group on Antimicrobial Resistance, South Perth, WA, Australia., Garcia-Castillo M; Servicio de Microbiología, Hospital Universitario Ramón y Cajal and Instituto de Investigación Sanitaria (IRYCIS), Madrid, Spain., Daley D; PathWest Laboratory Medicine, Fiona Stanley Hospital, Murdoch, WA, Australia; and the Australian Group on Antimicrobial Resistance, South Perth, WA, Australia., Bauer KA; Merck & Co., Inc., 126 E Lincoln Avenue, Rahway, NJ 07065, USA., Wong M; Merck & Co., Inc., 126 E Lincoln Avenue, Rahway, NJ 07065, USA., Wolf DJ; Merck & Co., Inc., 126 E Lincoln Avenue, Rahway, NJ 07065, USA. Electronic address: dominik.wolf@merck.com., Siddiqui F; Merck & Co., Inc., 126 E Lincoln Avenue, Rahway, NJ 07065, USA., Motyl M; Merck & Co., Inc., 126 E Lincoln Avenue, Rahway, NJ 07065, USA.
Jazyk: angličtina
Zdroj: International journal of antimicrobial agents [Int J Antimicrob Agents] 2023 Dec; Vol. 62 (6), pp. 107014. Date of Electronic Publication: 2023 Oct 21.
DOI: 10.1016/j.ijantimicag.2023.107014
Abstrakt: Antimicrobial resistance (AMR) is a major global public health threat, particularly affecting patients in resource-poor settings. Comprehensive surveillance programmes are essential to reducing the high mortality and morbidity associated with AMR and are integral to informing treatment decisions and guidelines, appraising the effectiveness of intervention strategies, and directing development of new antibacterial agents. Various surveillance programmes exist worldwide, including those administered by government bodies or funded by the pharmaceutical industry. One of the largest and longest running industry-sponsored AMR surveillance programme is the Study for Monitoring Antimicrobial Resistance Trends (SMART), which recently completed its 20th year. The SMART database has grown to almost 500 000 isolates from over 200 sites in more than 60 countries, encompassing all major geographic regions and including many sites in low- and middle-income countries. The SMART surveillance programme has evolved in scope over time, including additional antibacterial agents, pathogens and infection sites, in line with changing epidemiology and medical need. Surveillance data from SMART and similar programmes have been used successfully to detect emerging resistance threats and AMR patterns in specific countries and regions, thus informing national and local clinical treatment guidelines. The SMART database can be accessed readily by physicians and researchers globally, which may be especially valuable to those from countries with limited healthcare resources, where surveillance and resistance data are rarely collected. Continued participation from as many sites as possible worldwide and maintenance of adequate funding are critical factors to fully realising the potential of large-scale AMR surveillance programmes into the future.
(Copyright © 2023 Merck Sharp & Dohme LLC., a subsidiary of Merck & Co., Inc., Rahway, NJ, USA, The Author(s). Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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