Show simple item record

dc.contributor.authorFoxlee, ND
dc.contributor.authorTownell, N
dc.contributor.authorMcIver, L
dc.contributor.authorLau, CL
dc.date.accessioned2019-04-19T18:47:07Z
dc.date.available2019-04-19T18:47:07Z
dc.date.issued2019-03-19
dc.date.submitted2019-04-09
dc.identifier.urihttp://hdl.handle.net/10144/619364
dc.description.abstractSeveral 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.en_US
dc.language.isoenen_US
dc.publisherMultidisciplinary Digital Publishing Instituteen_US
dc.rightsWith thanks to Multidisciplinary Digital Publishing Institute.en_US
dc.titleAntibiotic Resistance in Pacific Island Countries and Territories: A Systematic Scoping Reviewen_US
dc.identifier.journalAntibioticsen_US
refterms.dateFOA2019-04-19T18:47:07Z


Files in this item

Thumbnail
Name:
Foxlee et al - 2019 - Antibiotic ...
Size:
429.1Kb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record