COVID-19 therapeutics: stewardship in England and considerations for antimicrobial resistance

Sabine Bou-Antoun*, Sakib Rokadiya, Diane Ashiru-Oredope, Alicia Demirjian, Emma Sherwood, Nicholas Ellaby, Sarah Gerver, Carlota Grossi, Katie Harman, Hassan Hartman, Alessandra Lochen, Manon Ragonnet-Cronin, Hanna Squire, J. Mark Sutton, Simon Thelwall, Julia Tree, Mohammad W. Bahar, David I. Stuart, Colin S. Brown, Meera ChandSusan Hopkins

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

The COVID-19 pandemic saw unprecedented resources and funds driven into research for the development, and subsequent rapid distribution, of vaccines, diagnostics and directly acting antivirals (DAAs). DAAs have undeniably prevented progression and life-threatening conditions in patients with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. However, there are concerns of antimicrobial resistance (AMR), antiviral resistance specifically, for DAAs. To preserve activity of DAAs for COVID-19 therapy, as well as detect possible mutations conferring resistance, antimicrobial stewardship and surveillance were rapidly implemented in England. This paper expands on the ubiquitous ongoing public health activities carried out in England, including epidemiologic, virologic and genomic surveillance, to support the stewardship of DAAs and assess the deployment, safety, effectiveness and resistance potential of these novel and repurposed therapeutics.

Original languageEnglish
Pages (from-to)II37-II42
JournalJournal of Antimicrobial Chemotherapy
Volume78
DOIs
Publication statusPublished - 1 Nov 2023

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