Antimicrobial Resistance in Papua New Guinea: A Narrative Scoping Review

Abstract

Antimicrobial-resistant bacterial infections are a known threat to the public health of low-income countries and are undercharacterized in Papua New Guinea. A scoping literature review of scientific peer-reviewed publications on antimicrobial resistance in Papua New Guinea was conducted, and their results were summarized. Many of the available data on resistant bacteria in Papua New Guinea have come from Port Moresby and Goroka and have been focused on Staphylococcus aureus, as well as important pediatric pathogens such as Streptococcus pneumoniae and Haemophilus influenzae. Progressive resistance to the commonly used antibiotics penicillin and chloramphenicol among most clinically important bacterial pathogens has prompted healthcare workers to adopt expensive broad-spectrum antibiotics. There is already evidence of resistance to newly adopted antibiotics among several Gram-negative organisms. Drivers of antimicrobial resistance in Papua New Guinea include a high burden of infectious diseases, inappropriate antibiotic prescription practices, poor regulation of antibiotics, incomplete adherence, substandard drug quality, and overcrowding of healthcare facilities. There is a lack of information on antimicrobial resistance among priority pathogens and from several important regions of Papua New Guinea.

Keywords: Melanesia; Oceania; Papua New Guinea; antibiotics; antimicrobial resistance.

Figure 1

Map of Papua New Guinea and selected cities.

Figure 2

PRISMA chart of article identification and screening [11].

Figure 3

Timeline of antimicrobial resistance events for Staphylococcus aureus and Streptococcus pneumoniae in Papua New Guinea [9,10,12,14,15,16,17,18,19,20,21,22,23,24].