Hassan Shafie Abdulkadir, Mohamed Dirie Ahmed, Ahmed Nur Rashid, Omar Abdifetah Ibrahim
Department of Medical Laboratory Sciences, Faculty of Medicine and Health Sciences, Jamhuriya University of Science and Technology, Mogadishu, Somalia.
Faculty of Health Sciences, Salaam University, Mogadishu, Somalia.
Heliyon. 2024 Oct 18;10(20):e39434. doi: 10.1016/j.heliyon.2024.e39434. eCollection 2024 Oct 30.
Antimicrobial resistance (AMR) is a critical global health challenge, and Somalia is no exception. This update examines the current status of AMR in Somalia, highlighting the prevalent patterns of resistance, contributing factors, and significant health impacts. Despite limited surveillance data, evidence suggests rising resistance to key antibiotics, exacerbated by inadequate healthcare infrastructure, overuse of antimicrobials, and lack of regulatory oversight. The review identifies key challenges, including insufficient diagnostic capabilities, poor infection control practices, and a need for robust stewardship programs. Opportunities for addressing AMR in Somalia are discussed, including strengthening surveillance systems, improving healthcare access, and fostering international collaboration. Future perspectives emphasize the importance of integrating AMR strategies into broader health policies, enhancing public awareness, and investing in research to develop new treatments and prevention methods. Addressing these issues is crucial for mitigating the impact of AMR and improving health outcomes in Somalia.
抗菌药物耐药性（AMR）是一项严峻的全球卫生挑战，索马里也不例外。本更新报告审视了索马里抗菌药物耐药性的现状，突出了普遍存在的耐药模式、促成因素以及对健康的重大影响。尽管监测数据有限，但有证据表明，由于医疗基础设施不足、抗菌药物过度使用以及缺乏监管监督，对关键抗生素的耐药性正在上升。该综述确定了关键挑战，包括诊断能力不足、感染控制措施不力以及需要强有力的管理计划。文中讨论了索马里应对抗菌药物耐药性的机遇，包括加强监测系统、改善医疗服务可及性以及促进国际合作。未来展望强调了将抗菌药物耐药性战略纳入更广泛卫生政策、提高公众意识以及投资开展研究以开发新治疗方法和预防措施的重要性。解决这些问题对于减轻抗菌药物耐药性的影响以及改善索马里的健康状况至关重要。
