Scientific article
OA Policy
English

Expert consensus on antimicrobial resistance research priorities to focus development and implementation of antibacterial vaccines and monoclonal antibodies

Published inEuro surveillance, vol. 29, no. 47, 2400212
Publication date2024-11
Abstract

To reduce antimicrobial resistance (AMR), pathogen-specific AMR burden data are crucial to guide target selection for research and development of vaccines and monoclonal antibodies (mAbs). We identified knowledge gaps through previously conducted systematic reviews, which informed a Delphi expert consultation on future AMR research priorities and harmonisation strategies to support data-driven decision-making. Consensus (≥80% agreement) on importance and feasibility of research topics was achieved in two rounds, involving 24 of 39 and 19 of 24 invited experts, respectively. Priority pathogens and resistance profiles for future research were identified: third generation cephalosporin-resistant Klebsiella pneumoniae and Escherichia coli, for bloodstream and urinary tract infections, respectively, and meticillin-resistant Staphylococcus aureus for surgical-site infections. Prioritised high-risk populations included surgical, haemato-oncological and transplant patients. Mortality and resource use were prioritised as health-economic outcomes. The importance of age-stratified data and inclusion of a non-infected comparator group were highlighted. This agenda provides guidance for future research to fill knowledge gaps and support data-driven selection of target pathogens and populations for new preventive and treatment strategies, specifically vaccines and mAbs, to effectively address the AMR burden in Europe. These research priorities are also relevant to improve the evidence base for future AMR burden estimates.

Keywords
  • Antimicrobial resistance
  • Delphi
  • Europe
  • Gaps
  • Monoclonal antibodies
  • Policy
  • Research priority
  • Vaccines
  • Humans
  • Bacterial Vaccines / immunology
  • Bacterial Vaccines / administration & dosage
  • Bacterial Vaccines / therapeutic use
  • Antibodies, Monoclonal / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Consensus
  • Drug Resistance, Bacterial
  • Delphi Technique
  • Research
  • Klebsiella pneumoniae / immunology
  • Klebsiella pneumoniae / drug effects
Funding
  • European Commission - Predicting the Impact of Monoclonal Antibodies & Vaccines on Antimicrobial Resistance [101034420]
Citation (ISO format)
HASSOUN-KHEIR, Nasreen et al. Expert consensus on antimicrobial resistance research priorities to focus development and implementation of antibacterial vaccines and monoclonal antibodies. In: Euro surveillance, 2024, vol. 29, n° 47, p. 2400212. doi: 10.2807/1560-7917.ES.2024.29.47.2400212
Main files (1)
Article (Published version)
Secondary files (2)
Appendix
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Identifiers
Journal ISSN1025-496X
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