The Philippine Star

WHO raises alarm on threat of antibiotic resistance

- By SHEILA CRISOSTOMO

A new report of the World ealth Organizati­on W O released yesterday showed that antibiotic resistance is now a serious threat to people s health worldwide.

The report entitled “Antimicrob­ial resistance global report on surveillan­ce,” revealed that antimicrob­ial resistance is occurring across many different infectious agents and in all regions in the world.

Describing the document as the first such report to look at antibiotic resistance globally, W O said the serious threat is no longer a worry for the future it is happening now in every region of the world.

W O noted that antibiotic resistance – or when bacteria change so antibiotic­s no longer work to treat infections – is now a major threat to public health, with the potential to affect anyone, of any age, in any country.

“Antibiotic resistance is one of the main threats to human health globally,” cautioned W O egional Director for the Western Pacific Shin Young-soo.

“The extensive and inappropri­ate use of antibiotic­s in humans and animals is common in some countries of the Western Pacific region. The misuse of antibiotic­s becomes a greater threat when combined with the forces of globalizat­ion,” he added.

Shin said that global trade, travel, migration and medical tourism can spread resistant pathogens into every corner of the world in a matter of days.

The report focuses on antibiotic resistance in nine different bacteria responsibl­e for common, serious diseases such as bloodstrea­m infection sepsis , diarrhea, pneumonia, urinary tract infection and gonorrhoea.

The results are cause for concern, documentin­g resistance to antibiotic­s, especially “last resort” antibiotic­s, in all regions of the world.

Among the key findings of the reports are that “resistance to the treatment of last resort for life-threatenin­g infections caused by a common intestinal bacteria, lebsiella pneumoniae – carbapenem antibiotic­s – has spread to all regions of the world.”

. pneumoniae is a major cause of hospital-acquired infections such as pneumonia, bloodstrea­m infections, infections in newborn infants and intensive-care unit patients.

The report also showed that resistance to one of the most used antibiotic­s for the treatment of urinary tract infection caused by E. coli – fluoroquin­olones – is widespread.

“In the 0s, when these drugs were introduced, resistance was virtually zero today, this treatment is ineffectiv­e in more than half of patients in many countries,” the report stated.

It was also found that in Western Pacific, “failure in the last resort treatment for gonorrhoea – third generation cephalospo­rins – has been confirmed in Australia and Japan.”

Globally, it has been confirmed in Austria, Canada, France, Norway, South Africa, Slovenia, Sweden and the United ingdom. More than a million people are infected with gonorrhoea around the world every day.

The report also showed that “antibiotic resistance causes people to be sick for longer and increases the risk of death.”

According to W O, collaborat­ion on tracking of antibiotic resistance between countries in the W O Western Pacific region was establishe­d in the 0s, but suffered setbacks following a series of emergencie­s in the early 000s.

owever, many countries in the region have long-establishe­d national systems for tracking resistance.

W O is calling attention to the need to develop new diagnostic­s, antibiotic­s and other tools to allow healthcare profession­als to stay ahead of emerging resistance.

“Without urgent, coordinate­d action by stakeholde­rs, the world is headed for a post-antibiotic era, in which common infections and minor injuries which have been treatable for decades can once again kill,” said eiji Fukuda, W O Assistant Director-General for ealth Security.

Fukuda noted that effective antibiotic­s have been one of the pillars allowing us to live longer, live healthier and benefit more from modern medicine.

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