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    Jan 15, 2021
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    Antibiotic Resistance in Pacific Island Countries and Territories: A Systematic Scoping Review

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    Foxlee et al - 2019 - Antibiotic ...
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    Authors
    Foxlee, ND
    Townell, N
    McIver, L
    Lau, CL
    Issue Date
    2019-03-19
    Submitted date
    2019-04-09
    
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    Journal
    Antibiotics
    Abstract
    Several studies have investigated antimicrobial resistance in low- and middle-income countries, but to date little attention has been paid to the Pacific Islands Countries and Territories (PICTs). This study aims to review the literature on antibiotic resistance (ABR) in healthcare settings in PICTs to inform further research and future policy development for the region. Following the PRISMA-ScR checklist health databases and grey literature sources were searched. Three reviewers independently screened the literature for inclusion, data was extracted using a charting tool and the results were described and synthesised. Sixty-five studies about ABR in PICTs were identified and these are primarily about New Caledonia, Fiji and Papua New Guinea. Ten PICTs contributed the remaining 21 studies and nine PICTs were not represented. The predominant gram-positive pathogen reported was community-acquired methicillin resistant S. aureus and the rates of resistance ranged widely (>50% to <20%). Resistance reported in gram-negative pathogens was mainly associated with healthcare-associated infections (HCAIs). Extended spectrum beta-lactamase (ESBL) producing K. pneumoniae isolates were reported in New Caledonia (3.4%) and Fiji (22%) and carbapenem resistant A. baumannii (CR-ab) isolates in the French Territories (24.8%). ABR is a problem in the PICTs, but the epidemiology requires further characterisation. Action on strengthening surveillance in PICTs needs to be prioritised so strategies to contain ABR can be fully realised.
    Publisher
    Multidisciplinary Digital Publishing Institute
    URI
    http://hdl.handle.net/10144/619364
    Language
    en
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    Other Diseases

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