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Antimicrobial resistance in the Pacific Island countries and territories

Bibliographic Data

ID21878494
AuthorsMichael J Loftus (0000-0001-6672-0578, The Alfred Hospital, corresponding author), Andrew J Stewardson (0000-0001-6805-1224, The Alfred Hospital), Ravi Naidu (0000-0002-1520-2495, Colonial War Memorial Hospital), Ben Coghlan (Burnet Institute), Adam Jenney (0000-0002-5237-2506, The Alfred Hospital), Adam WJ Jenney (Monash University), Jonila Kepas (National Department of Health), Evelyn Lavu (National Department of Health), Alex B Munamua (National Referral Hospital, Honiara, Solomon Islands), Trisha N Peel (Monash University), Trisha Peel (0000-0003-2370-2438, The Alfred Hospital), Vinita Sahai (Colonial War Memorial Hospital), Rosemary Tekoaua (Ministry of Fisheries and Marine Resource Development), Litia Tudravu (Colonial War Memorial Hospital), Julie Zinihite (National Pharmacy Division, Solomon Islands Ministry of Health and Medical Services, Honiara, Solomon Islands), Allen C Cheng (0000-0003-3152-116X, The Alfred Hospital), Eric Rafai (0000-0001-7555-5666, Ministry of Health), Anton Y Peleg (Australian Regenerative Medicine Institute, corresponding author)
Year2020
Volume5
Issue4
Pagese002418
Publication date2020-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2020-002418
PMID32349993
OpenAlexW3021129807
LanguageEN
Citations received1
References cited30

Antimicrobial resistance (AMR) is a critical global health threat with a disproportionate impact on low-income and middle-income countries (LMICs) due to their higher burden of infections, reduced laboratory surveillance infrastructure and fewer regulations governing antimicrobial use among humans or animals. While there have been increasing descriptions of AMR within many LMICs in WHO’s Western Pacific and South East Asian regions, there remains a paucity of data from Pacific Island countries and territories (PICTs). The PICTs represent 22 predominantly middle-income countries and territories with a combined population of 12 million people and 20 official languages, spread over hundreds of separate islands spanning an area corresponding to more than 15% of the earth’s surface. Our paper outlines the present state of the evidence regarding AMR in PICTs—discussing the present estimates of AMR and their accompanying limitations, important drivers of AMR, as well as outlining key priorities and potential solutions for tackling AMR in this region. Significant areas for action include developing National Action Plans, strengthening laboratory surveillance systems and educational activities targeted at both healthcare workers and the wider community. Ensuring adequate funding for AMR activities in PICTs is challenging given competing health and environmental priorities, in this context global or regional funding initiatives such as the Fleming Fund can play a key role

Business · Call to action · Developing country · Development economics · Economic growth · Economics · Environmental health · Geography · Global health · Health care · Political science · Population · Antibiotic Use and Resistance · Global Maternal and Child Health · Medicine · Travel-related health issues

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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