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June 8, 2011

Antibiotic Resistance and the Future—Reply

Author Affiliations

Author Affiliations: Department of Medicine, Emory University, Atlanta, Georgia (jmhughe@emory.edu).

JAMA. 2011;305(22):2293-2294. doi:10.1001/jama.2011.762

In Reply: Drs Koirala and Thapa describe the problem of antimicrobial resistance in Southeast Asia, where the problem is further complicated by over-the-counter availability of antimicrobial drugs, some of which may be of poor quality or counterfeit. Although the antimicrobial resistance crisis is an urgent global issue, they appropriately note that the nature and extent of the problem varies somewhat by geographic region, reinforcing the need for strengthening drug resistance surveillance and laboratory capacity in all countries, as called for in the International Health Regulations.1 While increasingly resistant bacteria are of primary concern, resistance among viruses, fungi, protozoa, and parasites is worrisome as well, as Koirala and Thapa acknowledge.

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