A national interdisciplinary body is urgently needed to manage the looming antimicrobial resistance crisis
The introduction of antibiotics was one of the most important developments in modern medicine. Their availability has facilitated increasingly complex care and, not surprisingly, microbial resistance to antibiotics has been identified as one of the greatest threats to human health. A return to the “pre-antibiotic era” would render many routine infections untreatable and would seriously affect current practice in surgery, intensive care, organ transplantation, neonatology and cancer services through major increases in morbidity and mortality. The time to act is now — before we lose these “miracle” drugs for good.
The full article is accessible to AMA members and paid subscribers. Login to read more or purchase a subscription now.
Please note: institutional and Research4Life access to the MJA is now provided through Wiley Online Library.
- 1. World Health Organization Department of Communicable Disease Surveillance and Response. WHO global strategy for containment of antimicrobial resistance. Geneva: WHO, 2001. http://www.who.int/csr/resources/publications/drugresist/WHO_CDS_CSR_DRS_2001_2_EN/en/ (accessed Feb 2011).
- 2. Collignon P. Antimicrobial resistance. Med J Aust 2002; 177: 325-329. <MJA full text>
- 3. National Antimicrobial Utilisation Surveillance Program. AUSP reports. Adelaide: NAUSP. http://www.health.sa.gov.au/INFECTIONCONTROL/Default.aspx?tabid=199 (accessed Feb 2011).
- 4. Dellit TH, Owens RC, McGowan JE, et al. Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship. Clin Infect Dis 2007; 44: 159-177.
Summit Organising Committee Members: Dr Craig S Boutlis (Infectious Diseases Physician, Wollongong), Dr Kirsty Buising (Infectious Diseases Physician, Melbourne), Associate Professor Allen C Cheng (Infectious Diseases Physician, Melbourne), Professor Keryn Christiansen (Clinical Microbiologist, Perth), Professor Peter Collignon (Infectious Diseases Physician and Microbiologist, Canberra), Mr Geoffrey Coombs (Principal Scientist, Perth), Dr Marilyn Cruickshank (Policy Manager, Sydney), Professor Bart J Currie (Infectious Diseases Physician, Darwin), Ms Margaret Duguid (Pharmacist, Sydney), Dr John Ferguson (Infectious Diseases Physician and Microbiologist, Newcastle), Dr Rodney Givney (Microbiologist, Newcastle), Dr Ken Harvey (Clinical Microbiologist, Melbourne), Dr David Looke (Infectious Diseases Physician and Clinical Microbiologist, Brisbane), Dr Caroline Marshall (Infectious Diseases Physician, Melbourne), Dr Mary Murray (Global Network Coordinator, ReAct Action on Antibiotic Resistance, Wee Jasper), Professor David L Paterson (Infectious Diseases Physician and Microbiologist, Brisbane), Professor Michael Richards (Infectious Diseases Physician, Melbourne), Professor John Turnidge (Infectious Disease Physician and Microbiologist, Adelaide). We thank Anne Burridge for help in drafting the manuscript and Nadine Giatras, Elizabeth Bennett and Petrana Lorenz at the Australasian Society for HIV Medicine for Summit organisation.
Thomas Gottlieb is President of the Australasian Society for Infectious Diseases. He has served on advisory boards for Novartis, Pfizer, AstraZeneca and Janssen-Cilag. Graeme Nimmo is President of the Australian Society for Antimicrobials. He has served on advisory boards for Novartis and Pfizer, and has received lecture fees from bioMerieux and reimbursement for travel and accommodation from Novartis, Pfizer and bioMerieux.