Curbing antimicrobial resistance in post‐COVID Africa: Challenges, actions and recommendations

Abstract Background Antimicrobial self‐medication and use have significantly increased in the COVID‐19 era—increasing antibiotic consumption and resulting in a high prevalence of antimicrobial resistance in Africa (AMR). We conducted a narrative review to investigate challenges associated with curbi...

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Main Authors: Deborah Oluwaseun Shomuyiwa, Don Eliseo Lucero‐Prisno III, Emery Manirambona, Mohamed Hoosen Suleman, Rehab A. Rayan, Junjie Huang, Thaint Nadi Zaw, Yusuf Babatunde, Salomey Asaah Denkyira, Shuaibu Saidu Musa
Format: Article
Language:English
Published: Wiley 2022-09-01
Series:Health Science Reports
Subjects:
Online Access:https://doi.org/10.1002/hsr2.771
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author Deborah Oluwaseun Shomuyiwa
Don Eliseo Lucero‐Prisno III
Emery Manirambona
Mohamed Hoosen Suleman
Rehab A. Rayan
Junjie Huang
Thaint Nadi Zaw
Yusuf Babatunde
Salomey Asaah Denkyira
Shuaibu Saidu Musa
author_facet Deborah Oluwaseun Shomuyiwa
Don Eliseo Lucero‐Prisno III
Emery Manirambona
Mohamed Hoosen Suleman
Rehab A. Rayan
Junjie Huang
Thaint Nadi Zaw
Yusuf Babatunde
Salomey Asaah Denkyira
Shuaibu Saidu Musa
author_sort Deborah Oluwaseun Shomuyiwa
collection DOAJ
description Abstract Background Antimicrobial self‐medication and use have significantly increased in the COVID‐19 era—increasing antibiotic consumption and resulting in a high prevalence of antimicrobial resistance in Africa (AMR). We conducted a narrative review to investigate challenges associated with curbing AMR in a post‐COVID‐19 setting in Africa, suggesting practical measures applicable for policy‐informed implementation. Method A narrative review was performed to pinpoint AMR challenges and actions on the African continent. A comprehensive search was conducted in the scientific databases that include PubMed, PubMed Central and Google Scholar using predetermined search terms. Results The emergence of the COVID‐19 outbreak has added to the challenges of tackling AMR on the continent, which has jeopardized AMR interventions' hard‐won gains. Identified challenges have been Health systems disruption, Irrational Antimicrobial Use, Weak Antimicrobials Regulatory Ecosystem, Inefficient Population Infection Prevention, and Control Practices, Inadequate access to Health Services and data challenge on AMR surveillance. Conclusion The COVID‐19 pandemic fueled AMR in Africa. There is a need for AMR control post‐COVID, such as measures for ongoing antimicrobial stewardship and good infection control practices. Further, curbing AMR requires rigorous regulatory enforcement and efficient AMR Surveillance. There should be a body to raise AMR awareness among the population. Research, Innovation and Technology could play an essential role supported by capacity building and global partnership.
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spelling doaj.art-662dd66162244e1f85f7e029ff1f0bb32023-07-26T04:11:54ZengWileyHealth Science Reports2398-88352022-09-0155n/an/a10.1002/hsr2.771Curbing antimicrobial resistance in post‐COVID Africa: Challenges, actions and recommendationsDeborah Oluwaseun Shomuyiwa0Don Eliseo Lucero‐Prisno III1Emery Manirambona2Mohamed Hoosen Suleman3Rehab A. Rayan4Junjie Huang5Thaint Nadi Zaw6Yusuf Babatunde7Salomey Asaah Denkyira8Shuaibu Saidu Musa9Faculty of Pharmacy University of Lagos Lagos NigeriaDepartment of Global Health and Development London School of Hygiene and Tropical Medicine London UKCollege of Medicine and Health Sciences University of Rwanda, Kigali, Rwanda Kigali RwandaNelson R. Mandela School of Medicine University of KwaZulu‐Natal Durban South AfricaDepartment of Epidemiology, High institute of Public Health Alexandria University Alexandria EgyptJC School of Public Health and Primary Care, Faculty of Medicine The Chinese University of Hong Kong Hong Kong PR ChinaOxford University Hospitals NHS Foundation Trust Oxford United KingdomFaculty of Pharmaceutical Sciences University of Ilorin Ilorin NigeriaFaculty of Pharmacy and Pharmaceutical Sciences Kwame Nkrumah University of Science and Technology Kumasi GhanaDepartment of Nursing Sciences Ahmadu Bello University Zaria NigeriaAbstract Background Antimicrobial self‐medication and use have significantly increased in the COVID‐19 era—increasing antibiotic consumption and resulting in a high prevalence of antimicrobial resistance in Africa (AMR). We conducted a narrative review to investigate challenges associated with curbing AMR in a post‐COVID‐19 setting in Africa, suggesting practical measures applicable for policy‐informed implementation. Method A narrative review was performed to pinpoint AMR challenges and actions on the African continent. A comprehensive search was conducted in the scientific databases that include PubMed, PubMed Central and Google Scholar using predetermined search terms. Results The emergence of the COVID‐19 outbreak has added to the challenges of tackling AMR on the continent, which has jeopardized AMR interventions' hard‐won gains. Identified challenges have been Health systems disruption, Irrational Antimicrobial Use, Weak Antimicrobials Regulatory Ecosystem, Inefficient Population Infection Prevention, and Control Practices, Inadequate access to Health Services and data challenge on AMR surveillance. Conclusion The COVID‐19 pandemic fueled AMR in Africa. There is a need for AMR control post‐COVID, such as measures for ongoing antimicrobial stewardship and good infection control practices. Further, curbing AMR requires rigorous regulatory enforcement and efficient AMR Surveillance. There should be a body to raise AMR awareness among the population. Research, Innovation and Technology could play an essential role supported by capacity building and global partnership.https://doi.org/10.1002/hsr2.771Africaanti‐infective agentsantimicrobial resistanceCOVID‐19drug resistanceinfection control
spellingShingle Deborah Oluwaseun Shomuyiwa
Don Eliseo Lucero‐Prisno III
Emery Manirambona
Mohamed Hoosen Suleman
Rehab A. Rayan
Junjie Huang
Thaint Nadi Zaw
Yusuf Babatunde
Salomey Asaah Denkyira
Shuaibu Saidu Musa
Curbing antimicrobial resistance in post‐COVID Africa: Challenges, actions and recommendations
Health Science Reports
Africa
anti‐infective agents
antimicrobial resistance
COVID‐19
drug resistance
infection control
title Curbing antimicrobial resistance in post‐COVID Africa: Challenges, actions and recommendations
title_full Curbing antimicrobial resistance in post‐COVID Africa: Challenges, actions and recommendations
title_fullStr Curbing antimicrobial resistance in post‐COVID Africa: Challenges, actions and recommendations
title_full_unstemmed Curbing antimicrobial resistance in post‐COVID Africa: Challenges, actions and recommendations
title_short Curbing antimicrobial resistance in post‐COVID Africa: Challenges, actions and recommendations
title_sort curbing antimicrobial resistance in post covid africa challenges actions and recommendations
topic Africa
anti‐infective agents
antimicrobial resistance
COVID‐19
drug resistance
infection control
url https://doi.org/10.1002/hsr2.771
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