Imperial College London
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DrTimothy MilesRawson

Faculty of Medicine, Department of Infectious Disease

Honorary Clinical Lecturer
 
 
 
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Contact

 

timothy.rawson07 Website

 
 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Abbara:2018:10.1016/j.ijid.2018.06.010,
author = {Abbara, A and Rawson, T and Karah, N and El-Amin, W and Hatcher, J and Tajaldin, B and Dar, O and Dewachi, O and Abu, Sitta G and Uhlin, B and Sparrow, A},
doi = {10.1016/j.ijid.2018.06.010},
journal = {International Journal of Infectious Diseases},
pages = {26--33},
title = {A summary and appraisal of existing evidence of antimicrobial resistance in the Syrian conflict},
url = {http://dx.doi.org/10.1016/j.ijid.2018.06.010},
volume = {75},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Antimicrobial resistance (AMR) in populations experiencing war has yet to be addressed despite the abundance of contemporary conflicts and the protracted nature of twenty-first century wars, in combination with growing global concern over conflict-associated bacterial pathogens. We use the example of the Syrian conflict to explore the feasibility of using existing global policies on AMR in conditions of extreme conflict. Available literature on AMR and prescribing behaviour in Syria before and since the onset of the conflict in March 2011 was identified. Overall, there is a paucity of rigorous data before and since the onset of conflict in Syria to contextualise the burden of AMR. However, post- onset of the conflict an increasing number of studies conducted in neighboring countries and Europe report AMR in Syrian refugees. High rates of multi-drug resistance, particularly Gram-negative organisms, are noted amongst Syrian refugees when compared with local populations. Conflict impedes many of the safeguards against AMR, creates new drivers, and exacerbates existing ones. Given the apparently high rates of AMR in Syria, in neighboring countries hosting refugees and in European countries providing asylum; this requires WHO and other global health institutions to address the causes, costs, and future considerations of conflict-related AMR as an issue of global governance.
AU  - Abbara,A
AU  - Rawson,T
AU  - Karah,N
AU  - El-Amin,W
AU  - Hatcher,J
AU  - Tajaldin,B
AU  - Dar,O
AU  - Dewachi,O
AU  - Abu,Sitta G
AU  - Uhlin,B
AU  - Sparrow,A
DO  - 10.1016/j.ijid.2018.06.010
EP  - 33
PY  - 2018///
SN  - 1201-9712
SP  - 26
TI  - A summary and appraisal of existing evidence of antimicrobial resistance in the Syrian conflict
T2  - International Journal of Infectious Diseases
UR  - http://dx.doi.org/10.1016/j.ijid.2018.06.010
UR  - http://hdl.handle.net/10044/1/61328
VL  - 75
ER  -
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