Expert consensus on antimicrobial resistance research priorities to focus development and implementation of antibacterial vaccines and monoclonal antibodies.
Details
Serval ID
serval:BIB_0741EADA9241
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Expert consensus on antimicrobial resistance research priorities to focus development and implementation of antibacterial vaccines and monoclonal antibodies.
Journal
Euro surveillance
ISSN
1560-7917 (Electronic)
ISSN-L
1025-496X
Publication state
Published
Issued date
11/2024
Peer-reviewed
Oui
Volume
29
Number
47
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
To reduce antimicrobial resistance (AMR), pathogen-specific AMR burden data are crucial to guide target selection for research and development of vaccines and monoclonal antibodies (mAbs). We identified knowledge gaps through previously conducted systematic reviews, which informed a Delphi expert consultation on future AMR research priorities and harmonisation strategies to support data-driven decision-making. Consensus (≥80% agreement) on importance and feasibility of research topics was achieved in two rounds, involving 24 of 39 and 19 of 24 invited experts, respectively. Priority pathogens and resistance profiles for future research were identified: third generation cephalosporin-resistant Klebsiella pneumoniae and Escherichia coli, for bloodstream and urinary tract infections, respectively, and meticillin-resistant Staphylococcus aureus for surgical-site infections. Prioritised high-risk populations included surgical, haemato-oncological and transplant patients. Mortality and resource use were prioritised as health-economic outcomes. The importance of age-stratified data and inclusion of a non-infected comparator group were highlighted. This agenda provides guidance for future research to fill knowledge gaps and support data-driven selection of target pathogens and populations for new preventive and treatment strategies, specifically vaccines and mAbs, to effectively address the AMR burden in Europe. These research priorities are also relevant to improve the evidence base for future AMR burden estimates.
Keywords
Humans, Bacterial Vaccines/immunology, Bacterial Vaccines/administration & dosage, Bacterial Vaccines/therapeutic use, Antibodies, Monoclonal/therapeutic use, Anti-Bacterial Agents/therapeutic use, Consensus, Drug Resistance, Bacterial, Delphi Technique, Research, Klebsiella pneumoniae/immunology, Klebsiella pneumoniae/drug effects, Europe, Antimicrobial resistance, Delphi, gaps, monoclonal antibodies, policy, research priority, vaccines
Pubmed
Open Access
Yes
Create date
25/11/2024 16:14
Last modification date
26/11/2024 7:04