Delivering Phage Products to Combat Antibiotic Resistance in Developing Countries: Lessons Learned from the HIV/AIDS Epidemic in Africa

The antimicrobial resistance (AMR) crisis and HIV/AIDS epidemic exhibit many parallels. In both, infectious diseases have caused millions of deaths worldwide, with AMR expected to kill even more people each year than HIV/AIDS did at its peak. In addition, both have required or will require new class...

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Main Author: Tobi E. Nagel
Format: Article
Language:English
Published: MDPI AG 2018-06-01
Series:Viruses
Subjects:
Online Access:http://www.mdpi.com/1999-4915/10/7/345
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author Tobi E. Nagel
author_facet Tobi E. Nagel
author_sort Tobi E. Nagel
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description The antimicrobial resistance (AMR) crisis and HIV/AIDS epidemic exhibit many parallels. In both, infectious diseases have caused millions of deaths worldwide, with AMR expected to kill even more people each year than HIV/AIDS did at its peak. In addition, both have required or will require new classes of drugs for control. For HIV/AIDS, development of vital antiretroviral drugs (ARVs) was accomplished in several stages: expanding public awareness about the disease, gathering commitment from the international community to tackle the problem, and eventually establishing policies and global funds to deliver new therapeutics. For AMR, the pursuit of new antimicrobials appears to be following a similar trajectory. This paper examines how lessons and processes leading to ARVs might be applied to developing AMR drugs, in particular bacteriophages (phages). These possess many essential characteristics: inexpensive manufacture, rapid drug development, and a ready means to prevent phage-resistant microbes from emerging. However, the broad application of phage-based products has yet to be fully demonstrated, and will require both international coordination and modified regulatory policies.
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spelling doaj.art-ad34dffee76148a999da387ba1da0c052022-12-21T19:55:15ZengMDPI AGViruses1999-49152018-06-0110734510.3390/v10070345v10070345Delivering Phage Products to Combat Antibiotic Resistance in Developing Countries: Lessons Learned from the HIV/AIDS Epidemic in AfricaTobi E. Nagel0Phages for Global Health, 383 62nd Street, Oakland, CA 94618, USAThe antimicrobial resistance (AMR) crisis and HIV/AIDS epidemic exhibit many parallels. In both, infectious diseases have caused millions of deaths worldwide, with AMR expected to kill even more people each year than HIV/AIDS did at its peak. In addition, both have required or will require new classes of drugs for control. For HIV/AIDS, development of vital antiretroviral drugs (ARVs) was accomplished in several stages: expanding public awareness about the disease, gathering commitment from the international community to tackle the problem, and eventually establishing policies and global funds to deliver new therapeutics. For AMR, the pursuit of new antimicrobials appears to be following a similar trajectory. This paper examines how lessons and processes leading to ARVs might be applied to developing AMR drugs, in particular bacteriophages (phages). These possess many essential characteristics: inexpensive manufacture, rapid drug development, and a ready means to prevent phage-resistant microbes from emerging. However, the broad application of phage-based products has yet to be fully demonstrated, and will require both international coordination and modified regulatory policies.http://www.mdpi.com/1999-4915/10/7/345bacteriophagephage therapyantimicrobial resistanceantibioticglobal healthdeveloping countriesinfectious disease
spellingShingle Tobi E. Nagel
Delivering Phage Products to Combat Antibiotic Resistance in Developing Countries: Lessons Learned from the HIV/AIDS Epidemic in Africa
Viruses
bacteriophage
phage therapy
antimicrobial resistance
antibiotic
global health
developing countries
infectious disease
title Delivering Phage Products to Combat Antibiotic Resistance in Developing Countries: Lessons Learned from the HIV/AIDS Epidemic in Africa
title_full Delivering Phage Products to Combat Antibiotic Resistance in Developing Countries: Lessons Learned from the HIV/AIDS Epidemic in Africa
title_fullStr Delivering Phage Products to Combat Antibiotic Resistance in Developing Countries: Lessons Learned from the HIV/AIDS Epidemic in Africa
title_full_unstemmed Delivering Phage Products to Combat Antibiotic Resistance in Developing Countries: Lessons Learned from the HIV/AIDS Epidemic in Africa
title_short Delivering Phage Products to Combat Antibiotic Resistance in Developing Countries: Lessons Learned from the HIV/AIDS Epidemic in Africa
title_sort delivering phage products to combat antibiotic resistance in developing countries lessons learned from the hiv aids epidemic in africa
topic bacteriophage
phage therapy
antimicrobial resistance
antibiotic
global health
developing countries
infectious disease
url http://www.mdpi.com/1999-4915/10/7/345
work_keys_str_mv AT tobienagel deliveringphageproductstocombatantibioticresistanceindevelopingcountrieslessonslearnedfromthehivaidsepidemicinafrica