Abstract

Antimicrobial resistance due to the continuous selective pressure from widespread use of antimicrobials in humans, animals and agriculture has been a growing problem for decades. In 2001, European Union Ministers of Health adopted Council Recommendations on the prudent use of antimicrobial agents in human medicine. This issue of Eurosurveillance is the second one this month dedicated to antimicrobial resistance, in connection with the first-ever European Antibiotic Awareness Day - a European Union (EU) health initiative involving all key players to increase awareness of Europeans about antimicrobial resistance and prudent use of antibiotics.

Highlights

  • This issue of Eurosurveillance is the second one this month dedicated to antimicrobial resistance, in connection with the firstever European Antibiotic Awareness Day - a European Union (EU) health initiative involving all key players to increase awareness of Europeans about antimicrobial resistance and prudent use of antibiotics

  • While the first issue reported on encouraging examples of countries that took corrective actions and show decreasing trends in resistance [3,4,5,6,7,8], this issue focuses on bacteria that are not among the classical human pathogens, yet are, due to resistance to multiple antibiotics, increasingly complicating patient management in hospitals and other healthcare institutions

  • Coque et al highlight the growing threat posed by increasing prevalence of extended-spectrum beta-lactamase (ESBL) producing Enterobacteriaceae all over Europe, even in countries traditionally showing low prevalence rates of resistance [10]

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Summary

Introduction

This issue of Eurosurveillance is the second one this month dedicated to antimicrobial resistance, in connection with the firstever European Antibiotic Awareness Day - a European Union (EU) health initiative involving all key players to increase awareness of Europeans about antimicrobial resistance and prudent use of antibiotics. While the first issue reported on encouraging examples of countries that took corrective actions and show decreasing trends in resistance [3,4,5,6,7,8], this issue focuses on bacteria that are not among the classical human pathogens, yet are, due to resistance to multiple antibiotics, increasingly complicating patient management in hospitals and other healthcare institutions. Both prudent use of antibiotics and compliance with hand hygiene and other infection control measures are essential to reduce selection and spread of multidrug-resistant enterococci.

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