Antimicrobial drug resistance
Antimicrobial resistance (AMR) occurs when microbes such as fungi, viruses, parasites and bacteria develop mechanisms that make them resistant to one or more antimicrobial drugs. This drug resistance is a major obstacle in the treatment of infectious diseases worldwide. It has been observed following the introduction of every antimicrobial agent into clinical practice. For example, resistance of the bacterium Staphylococcus aureus to penicillin was encountered in hospitals as early as the mid-1940s, only a few years after the introduction of penicillin. The global human burden posed by drug-resistant infections is difficult to quantify, but we have reason to fear that it may be enormous. In the European Union alone, 25 000 people die each year due to infections caused by resistant bacteria. This results in economic losses in the estimated order of €1.5 billion due to extra health care costs and productivity losses. The European Commission funds research projects on AMR through its Framework Programmes (FP) for research and innovation. This support started with FP5 in 1999 and continued through to FP7 and Horizon 2020 today.
This research deals with the development of rapid diagnostic tests, new antimicrobial therapies and alternatives like vaccines. In addition, EC-funded research studies the way in which antimicrobial resistance develops and is transmitted as well as new strategies for the responsible use of antibiotics in human medicine, food producing animals and aquaculture.
On 6 February 2017, a €1 million Horizon Prize for the better use of antibiotics was awarded to MINICARE HNL for a finger prick test that can diagnose in less than ten minutes a bacterial infection and identify if a patient can be treated safely without antibiotics.
The Commission continues to scale up its fight against antimicrobial resistance (AMR), with the launch of a second Action Plan in June 2017. The new Action Plan focusses on supporting Member States, particularly in establishing, implementing and monitoring their National Action Plans. It also brings together EU funds and instruments to promote innovation and research against AMR and strengthen the EU's leading role in global fora, notably within the international organisations and with major trade partners.
The key objectives of this Action Plan are built on three main pillars:
- Making the EU a best practice region
- Boosting research, development and innovation
- Shaping the global agenda
The proposed research strategy (Pillar 2) covers the full One-Health spectrum addressing human and animal health as well as the role of the environment.
Research collaboration initiatives
In May 2012 the New Drugs for Bad Bugs (ND4BB) programme started under the Innovative Medicines Initiative (IMI), a partnership between the European Commission and the European pharmaceutical industry. In ND4BB academic and other public partners, small and large pharmaceutical companies team up to advance the development of new antibiotics. To date, 7 projects covering the discovery, development and economics of new antimicrobials have been initiated within ND4BB.
As AMR spreads across borders, trans-national cooperation is crucial. A Joint Programming Initiative on AMR was established to integrate research efforts across national borders via alignment and research funding, and to create a common research agenda.
EU institutions also cooperate closely with the governments and specialised agencies of the USA, Canada and Norway in the Transatlantic Taskforce on Antimicrobial Resistance (TATFAR) with the goal of improving cooperation in areas like research and innovation.
- Evaluation of the Action Plan against the rising threats from antimicrobial resistance
- Increased momentum in antimicrobial resistance research (The Lancet)
- Horizon Prize for the better use of antibiotics
- Progress report on the Action plan against the rising threats from Antimicrobial Resistance
- Innovative Medicines Initiative (IMI)
- Joint Programming Initiative on AMR
- Transatlantic Taskforce on Antimicrobial Resistance (TATFAR)