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Infect Dis Clin North Am. 2019 Mar;33(1):231-245. doi: 10.1016/j.idc.2018.10.009.

Antimicrobial Resistance in the Tropics.

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Infectious Diseases and Medical Microbiology McGill University Health Centre, 1001, Boul Decarie Bloc E, E05.1616, Montreal, Quebec H4A3J1, Canada. Electronic address:
Department of Microbiology and Infectious Diseases, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Office 200, 150 Place Charles-Le Moyne, Longueuil, Québec J4K 0A8, Canada.


Antimicrobial resistance (AMR) is on the rise and spreading rapidly worldwide. Low- and middle-income countries, because of weak health systems, are particularly vulnerable to this increase. Population mobility further fuels the globalization of AMR, with travelers and migrants at significant risk of harboring drug-resistant organisms. This article provides an overview of the factors that contribute to the emergence, spread, and persistence of AMR, particularly antibiotic-resistance, in the tropics. Also addressed are clinical implications of this emergent global crisis for migrants and travelers, using specific scenarios commonly encountered in those populations.


Antibiotics; Antimicrobial resistance; Carbapenemase; ESBL; LMIC; Travel; Tropics


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