Antimicrobial resistance

Image: Antimicrobial susceptibility testing in petri dish (Shutterstock)

Antimicrobial resistance (AMR) is increasingly a global health security concern, with drug-resistant infections complicating the global fights against HIV, malaria and tuberculosis.

AMR is the ability of a microorganism (like bacteria, viruses and parasites) to stop an antimicrobial (like antibiotics, antivirals and antimalarials) from working against it. Medicines become ineffective, and infections persist in the body, increasing the risk of transmission.

Microorganisms that develop AMR are often called “superbugs”.

According to the World Health Organization:

  • Globally more than 480,000 people develop multidrug-resistant TB each year
  • Resistance to the first-line treatment for P. falciparum malaria (artemisinin-based combination therapies, also known as ACTs) has been confirmed in five countries of the Greater Mekong subregion (Cambodia, Lao PDR, Myanmar, Thailand and Vietnam).
  • Since September 2015, WHO has recommended that everyone living with HIV start on antiretroviral treatment (ART). It is expected to further increase ART resistance globally.

What is the difference between antibiotic and antimicrobial resistance?

to treat bacterial infections (such as urinary tract infections, pneumonia, bloodstream infections), making them ineffective. Antimicrobial resistance is a broader term, encompassing resistance to drugs that treat infections caused by other microbes as well, such as parasites (e.g. malaria or helminths), viruses (e.g. HIV) and fungi (e.g. Candida).

What is KICK-AMR to Address Antimicrobial Resistance?

Burnet Institute and The Alfred Hospital in Melbourne hosted 12 health personnel working on AMR – pharmacists, physicians, laboratory scientists and epidemiologists - from Fiji, Kiribati, Papua New Guinea and the Solomon Islands - as part of a new Australian Awards Fellowship program funded by the Department of Foreign Affairs and Trade. Find out more.

Current Projects

  • ANCP – Kickstarting antimicrobial resistance responses in PNG (KICK AMR)

  • Australia Awards Fellowship: KICK-AMR to Address Antimicrobial Resistance

  • COMBAT AMR: Mitigating the threat of Antimicrobial Resistance in Pacific Island Countries

  • Fleming Fund Country Grant – Papua New Guinea

  • Immunity, drug efficacy and spread of antimalarial drug resistance

  • Impact of declining transmission on immunity and risk of malaria rebound