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University of Nebraska Medical Center

Drug-resistant infections in Europe set to rise as populations age, study suggests

London School of Hygiene and Tropical Medicine

Biggest rise in drug-resistant bloodstream infections are expected in the over-65s and among men. A new study led by researchers at the London School of Hygiene & Tropical Medicine (LSHTM) and published in PLOS Medicine finds that ageing populations could lead to a rise in bloodstream infections caused by drug-resistant bacteria across Europe over the next decade.

Antimicrobial resistance (AMR) is a growing global health threat. Understanding how changing populations will affect infection rates is vital for designing effective prevention and control strategies.

Researchers led by Professor Gwen Knight analysed more than 12 million blood test results collected from 29 European countries between 2010 and 2019. They used these data to project how drug-resistant bacterial bloodstream infections may change up to 2050, taking into account population age and sex.

The study found that resistant bloodstream infections are likely to increase, with differences between countries and between bacteria types. The biggest rises are expected among older adults, especially those aged 74 and above, and among men for most bacteria–antibiotic combinations. The researchers found that models which ignore age and sex may underestimate future infection rates.

Even with strong public health actions, meeting the United Nations goal of a 10% reduction in resistant infections by 2030 was only possible for about two-thirds of bacteria–antibiotic combinations studied.

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