Expert consensus on antimicrobial resistance research priorities to focus development and implementation of antibacterial vaccines and monoclonal antibodies
Author(s)
Hassoun-Kheir, Nasreen
Guedes, Mariana
Arieti, Fabiana
Pezzani, Maria Diletta
Gladstone, Beryl Primrose
Type
Journal Article
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.
Date Issued
2024-11-21
Date Acceptance
2024-10-07
Citation
Eurosurveillance, 2024, 29 (47)
ISSN
1025-496X
Publisher
European Centre for Disease Prevention and Control
Journal / Book Title
Eurosurveillance
Volume
29
Issue
47
Copyright Statement
© This work is licensed under a Creative Commons Attribution 4.0 International License.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/39574390
Subjects
BACTERIA
DISCOVERY
Infectious Diseases
Life Sciences & Biomedicine
Science & Technology
Publication Status
Published
Coverage Spatial
Sweden
Article Number
2400212
Date Publish Online
2024-11-21