The changing landscape of antimicrobial resistance and use in South Africa: The need for access to new antibiotics: A position paper

Antibiotic resistance is a global threat, with a disproportionate burden of mortality in low- and middle-income countries. It is increasing in both the public and private healthcare sectors within South Africa, especially in Gram-negative organisms, and is associated with increased use of World...

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Main Authors: H Finlayson, V Chibabhai, P Jeena, S Kolman, W Lowman, T C Manzini, T Nana, J Nuttall, A Parker, P Skosana, V Ueckermann, A Wise
Format: Article
Language:English
Published: South African Medical Association 2024-10-01
Series:South African Medical Journal
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Online Access:https://samajournals.co.za/index.php/samj/article/view/2348
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author H Finlayson
V Chibabhai
P Jeena
S Kolman
W Lowman
T C Manzini
T Nana
J Nuttall
A Parker
P Skosana
V Ueckermann
A Wise
author_facet H Finlayson
V Chibabhai
P Jeena
S Kolman
W Lowman
T C Manzini
T Nana
J Nuttall
A Parker
P Skosana
V Ueckermann
A Wise
author_sort H Finlayson
collection DOAJ
description Antibiotic resistance is a global threat, with a disproportionate burden of mortality in low- and middle-income countries. It is increasing in both the public and private healthcare sectors within South Africa, especially in Gram-negative organisms, and is associated with increased use of World Health Organization watch and reserve antibiotics. There is a need for improved access to new antibiotics to treat infections caused by drug-resistant organisms in order to limit side-effects and improve patient outcomes of currently available antibiotics. We propose the responsible introduction of these new antibiotics with both administrative and clinical oversight in order to preserve the longevity of these precious antibiotics.
format Article
id doaj-art-125e7bbadc4b4c1ea0f8885190a5eaad
institution Kabale University
issn 0256-9574
2078-5135
language English
publishDate 2024-10-01
publisher South African Medical Association
record_format Article
series South African Medical Journal
spelling doaj-art-125e7bbadc4b4c1ea0f8885190a5eaad2025-02-10T12:25:37ZengSouth African Medical AssociationSouth African Medical Journal0256-95742078-51352024-10-011141010.7196/SAMJ.2024.v114i10.2348The changing landscape of antimicrobial resistance and use in South Africa: The need for access to new antibiotics: A position paperH Finlayson0V Chibabhai1P Jeena2S Kolman3W Lowman4T C Manzini5T Nana6J Nuttall7A Parker8P Skosana9V Ueckermann10A Wise11Department of Paediatrics and Child Health, Faculty of Health Sciences, Stellenbosch University, Cape Town, South AfricaDivision of Clinical Microbiology and Infectious Diseases, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaDepartment of Paediatrics and Child Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South AfricaNelson Mandela Children’s Hospital, Johannesburg, South AfricaPathCare/Vermaak Pathologists, Gauteng; Wits Donald Gordon Medical Centre, University of the Witwatersrand, Johannesburg, South AfricaInfectious Disease Unit, Sefako Makgatho Health Science University and Dr George Mukhari Academic Hospital, Pretoria, South AfricaDivision of Clinical Microbiology and Infectious Diseases, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaPaediatric Infectious Diseases Unit, Department of Paediatrics and Child Health, Red Cross War Memorial Children’s Hospital, University of Cape Town, Cape Town, South AfricaUnit for Infection Prevention Control and Division of Infectious Diseases, Department of Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South AfricaDepartment of Clinical Pharmacy, School of Pharmacy, Sefako Makgatho Health Sciences University, Pretoria, South AfricaDivision of Infectious Diseases, Department of Internal Medicine, Faculty of Health Sciences, University of Pretoria, South AfricaRahima Moosa Mother and Child Hospital, Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa Antibiotic resistance is a global threat, with a disproportionate burden of mortality in low- and middle-income countries. It is increasing in both the public and private healthcare sectors within South Africa, especially in Gram-negative organisms, and is associated with increased use of World Health Organization watch and reserve antibiotics. There is a need for improved access to new antibiotics to treat infections caused by drug-resistant organisms in order to limit side-effects and improve patient outcomes of currently available antibiotics. We propose the responsible introduction of these new antibiotics with both administrative and clinical oversight in order to preserve the longevity of these precious antibiotics. https://samajournals.co.za/index.php/samj/article/view/2348antimicrobial resistanceantimicrobial useantibiotic stewardshipAwaRE antibiotics
spellingShingle H Finlayson
V Chibabhai
P Jeena
S Kolman
W Lowman
T C Manzini
T Nana
J Nuttall
A Parker
P Skosana
V Ueckermann
A Wise
The changing landscape of antimicrobial resistance and use in South Africa: The need for access to new antibiotics: A position paper
South African Medical Journal
antimicrobial resistance
antimicrobial use
antibiotic stewardship
AwaRE antibiotics
title The changing landscape of antimicrobial resistance and use in South Africa: The need for access to new antibiotics: A position paper
title_full The changing landscape of antimicrobial resistance and use in South Africa: The need for access to new antibiotics: A position paper
title_fullStr The changing landscape of antimicrobial resistance and use in South Africa: The need for access to new antibiotics: A position paper
title_full_unstemmed The changing landscape of antimicrobial resistance and use in South Africa: The need for access to new antibiotics: A position paper
title_short The changing landscape of antimicrobial resistance and use in South Africa: The need for access to new antibiotics: A position paper
title_sort changing landscape of antimicrobial resistance and use in south africa the need for access to new antibiotics a position paper
topic antimicrobial resistance
antimicrobial use
antibiotic stewardship
AwaRE antibiotics
url https://samajournals.co.za/index.php/samj/article/view/2348
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