01819nas a2200253 4500000000100000008004100001260001600042653002100058100001600079700001900095700002300114700001400137700002300151700001400174700001200188700001200200700001300212700001300225245018800238856007500426300000800501520104200509022001401551 2024 d bElsevier BV10aGeneral Medicine1 aMendelson M1 aLaxminarayan R1 aLimmathurotsakul D1 aKariuki S1 aGyansa-Lutterodt M1 aCharani E1 aSingh S1 aWalia K1 aGales AC1 aMpundu M00aAntimicrobial resistance and the great divide: inequity in priorities and agendas between the Global North and the Global South threatens global mitigation of antimicrobial resistance uhttps://www.thelancet.com/action/showPdf?pii=S2214-109X%2823%2900554-5 a1-63 a

To limit the catastrophic effects of the increasing bacterial resistance to antimicrobials on health, food, environmental, and geopolitical security, and ensure that no country or region is left behind, a coordinated global approach is required. In this Viewpoint, we argue that the diverging resource availabilities, needs, and priorities of the Global North and the Global South in terms of the actions required to mitigate the antimicrobial resistance pandemic are a direct threat to success. We argue that evidence suggests a need to prioritise and support infection prevention interventions (ie, clean water and safe sanitation, increased vaccine coverage, and enhanced infection prevention measures for food production in the Global South contrary to the focus on research and development of new antibiotics in the Global North) and to recalibrate global funding resources to address this need. We call on global leaders to redress the current response, which threatens mitigation of the antimicrobial resistance pandemic.

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