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Risks of AMR
AMR poses the threat of a "post-antibiotic era" where antimicrobials will no longer be effective against infections caused by resistant pathogens. Resistant bacteria are harder to treat and increase morbidity, mortality and healthcare costs.
In the USA, AMR is already associated with 2.8 million infections and 35,000 deaths every year (2). And in Europe, AMR is linked to €1.5 billion in extra healthcare costs and productivity loss (3).
Research & surveillance
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Clinical diagnostics
In particular, multiplex PCR panel tests, also known as syndromic tests, provide quick and definitive pathogen identification that enables rational antimicrobial use.
Multiplex PCR panel testing can support antimicrobial stewardship efforts by (8–11)*:
- Improving appropriate antiviral treatment and reducing unnecessary antibiotic use (8, 11)
- Reducing antibiotic treatment duration and ancillary testing (9–11)
- Providing rapid results to support clinical decision-making (8, 11)
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References
- WHO. New report calls for urgent action to avert antimicrobial resistance crisis. https://www.who.int/news/item/29-04-2019-new-report-calls-for-urgent-action-to-avert-antimicrobial-resistance-crisis (Accessed June 16, 2022)
- Centers for Disease Control and Prevention Antibiotic / Antimicrobial Resistance (AR / AMR) https://www.cdc.gov/drugresistance/about.html
- Wellcome Trust (2016) Four Diagnostic Strategies for Better-Targeted Antibiotic Use. London: Wellcome Trust. https://wellcome.org/sites/default/files/diagnostic-strategies-for-better-targeted-antibiotic-use-wellcome-jul15.pdf
- Centers for Disease Control and Prevention Antibiotic Prescribing and Use https://www.cdc.gov/antibiotic-use
- Olesen, S.W., et al. (2018) The distribution of antibiotic use and its association with antibiotic resistance. eLife, 7:e39435
- Messacar, K., Parker, S.K., Todd, J.K. and Dominguez, S.R. (2017) Implementation of rapid molecular infectious disease diagnostics: the role of diagnostic and antimicrobial stewardship. J Clin Microbio, 55, 715-723
- U.S. National Action Plan for Combating Antibiotic-Resistant Bacteria (National Action Plan) https://www.cdc.gov/drugresistance/us-activities/national-action-plan.html
- McCulloh, R.J. Andrea, S., Reinert, S. and Chapin, K. (2014) Potential Utility of Multiplex Amplification Respiratory Viral Panel Testing in the Management of Acute Respiratory Infection in Children: A Retrospective Analysis. J Pediatric Infect Dis Soc, 3, 146-53
- Lowe, C.F., et al. (2017) Antimicrobial stewardship for hospitalized patients with viral respiratory tract infections. Am J Infect Control, 45, 872-875
- Rappo, U. (2016) Impact of early detection of respiratory viruses by multiplex PCR assay on clinical outcomes in adult patients. J Clin Microbiol, 54, 2096-2103
- Blaschke, A.J. (2013) A national study of the impact of rapid influenza testing on clinical care in the emergency department. J Pediatric Infect Dis Soc, 3, 112-118
* Unless otherwise stated, data cited pertains to the use of a device from another manufacturer.
For up-to-date licensing information and product-specific disclaimers, see the respective QIAGEN kit instructions for use or user manual. QIAGEN instructions for use and user manuals are available at www.qiagen.com or can be requested from QIAGEN Technical Services (or your local distributor).