Contributed by Dr. Ashok Tamhankar and Dr. Nishtha Khatri
A systematic review of literature on the impact of travel on the dissemination of AMR has revealed that high-income countries were more likely to be recipient for AMR originating from middle- and low-income countries. Travellers from Asia carried 36% of the total isolates with resistant bacteria. Of the total isolates 91.83% were enteric bacteria. Beta-lactams and quinolone drug-resistant organisms were the most documented, accounting for 35% and 31%. Medical tourism was twice as likely to be associated with multidrug-resistant organisms than general travel. Health systems need to take this into account and design curative measures.
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