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Transitioning to people-centred antimicrobial resistance surveillance

Limmathurotsakul, D., Ahmad, R. ORCID: 0000-0002-4294-7142, Ashley, E. A. , Atun, R., van Doorn, R. H., Joshi, J., Kanj, S. S., Midega, J., Mpundu, M., Turner, P., Walia, K., Peacock, S. J. & Feasey, N. A. (2025). Transitioning to people-centred antimicrobial resistance surveillance. The Lancet Infectious Diseases, doi: 10.1016/s1473-3099(25)00662-0

Abstract

Antimicrobial resistance (AMR) is a growing global health threat, and many public health surveillance programmes rely on blood cultures as a means to track this process. Blood cultures are diagnostic tests taken from patients with suspected sepsis or bloodstream infections, where timely results can be lifesaving. When blood culture-based AMR surveillance is instituted for global AMR monitoring, these investments might not realise their full potential in supporting patient care if their role as a diagnostic is not optimised, creating the risk that local hospitals see little benefit from surveillance activities and making such programmes less sustainable. We argue that blood cultures should be viewed first and foremost as a key diagnostic tool to guide patient care. By ensuring that local hospitals can use and act on their own data, we can both improve outcomes for patients and strengthen global AMR surveillance efforts.

Publication Type: Article
Additional Information: © 2025. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Departments: School of Health & Medical Sciences
School of Health & Medical Sciences > Department of Population Health & Policy
SWORD Depositor:
[thumbnail of THELANCETID-D-25-01165_R1 (1).pdf] Text - Accepted Version
This document is not freely accessible until 8 June 2026 due to copyright restrictions.
Available under License Creative Commons Attribution Non-commercial No Derivatives.

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