DEFINITION AMR – Microbes ( bacteria, virus, fungi ) develop the ability to defeat antimicrobials that are designed to kill them MDR - “ acquired non-susceptibility to at least one agent in three or more antimicrobial categories ”
W hat is the main root cause for AMR ? Rise in MDRO rate
Various Mechanisms of Resistance
ORIGIN OF MDRO’S AGAINST RESPECTIVE ANTIMICROBIALS
Common Phenotypes & Genotypes
COMMON PHENOTYPES & GENOTYPES S.no Organism Phenotype Genotype Remarks 1 S. auerus MRSA Mec -A Common in S. aureus 2 Enterococcus spp , VRE Van- A ; Van-B Common in E. faecium & faecalis 3 E.coli; K. pneumoniae ; P.aeruginosa ESBL CFX- M 4 E.coli; K. pneumoniae ; CRE NDM + OXA- 48
VARIOUS POSSIBILITES FOR SPREAD OF AMR
COMMON PATTERNS
Industrial Pollution – source of AMR !!!
ABx - Animals 3x times > humans !!!
Some Of The Hidden Causes For Spread Of AMR !!!
Clinical & Economic burden of AMR !!!
INFECTION & MORTALITY RATE !!!
Mortality rates of AMR
ATTENTION IS NEED OF HOUR !!!
Interconnected threats of AMR
LITERATURE
PREVENTIVE MEASURES
Tackling Antimicrobial Resistance By Below Fronts
IMPACT OF NEW DIAGNOSTICS
ALTERNATIVE TACKLING APPROACH’S
IPC PRACTICES
ENDNOTE For this emerging threat of AMR & increasing MDRO’S, AMSP alone can not be effective as we desired to be. We require a multi-disciplinary efforts & actions which includes Best IPC practices Effective Diagnostic Stewardship Rational AMSP approach Increase awareness community awareness & education. Which sums up to the idea of ONE HEALTH which is the only arsenal to combat AMR