Periods of armed conflict and population displacement represent incredibly complex and poorly-understood drivers of antimicrobial resistance. Factors contributing to this complexity include the devastation of infrastructure, disruption of healthcare services, proliferation of unsanitary conditions, high rates of injury, increased need for invasive surgery, diversion of resources to military requirements, constrained access to diagnostics and treatment, insufficient human resources, breakdowns in social order and heavy metal contamination. Given that armed conflicts and population displacements occur primarily in Low and Middle-Income Countries, such additional drivers of AMR escalation only serve to exacerbate the ‘tremendous challenges with regards to AMR surveillance and control' which pre-exist in these settings.
On this page, you will find links to resources regarding the impact of conflict and population displacement on AMR. This includes links to working groups, guidelines, and videos, as well as links to external resources.
This page is continually being updated so please check back regularly. If you have tools, documents, resources or other items of interest that you believe would be helpful to feature below, and that you would like to share with other members of the global AMR research community, please let the AMR knowledge hub know by email.
Antibiotic resistance among bacteria isolated from war-wounded patients at the Weapon Traumatology Training Center of the International Committee of the Red Cross from 2016 to 2019: a secondary analysis of WHONET surveillance data