Vol.67 No.1 January 2019
The global status of antimicrobial-resistant bacteria and antimicrobial consumption
1)AMR Clinical Reference Center, National Center for Global Health and Medicine Hospital, 1-21-1 Toyama, Shinjuku-ku, Tokyo, Japan
2)Disease Control and Prevention Center, National Center for Global Health and Medicine Hospital
Abstract
It is important to know the current status of antimicrobial resistance and antimicrobial consumption overseas for adopting global and domestic measures for tackling antimicrobial resistance. Data obtained from the surveillance of resistant bacteria in different countries show striking differences. In particular, the prevalence of resistant Enterobacteriaceae is high in many Asian countries, and therefore imported cases of resistant bacteria must be given due attention. International comparisons of antimicrobial consumption based on sales data show that while the rate remains at a plateau in high-income countries, there is a trend towards increasing antimicrobial consumption in lower-income countries. Increased antimicrobial consumption, among other factors, is closely associated with antimicrobial resistance. Therefore, we must improve the surveillance system for antimicrobial resistance and antimicrobial consumption, while also understanding the limitations of the data collected.
Key word
antimicrobial resistance, antimicrobial agent, surveillance
Received
May 14, 2018
Accepted
July 9, 2018
Jpn. J. Chemother. 67 (1): 13-22, 2019
