Review highlights antimicrobial resistance trends in India, suggesting innovative interventions for management.
Antimicrobial resistance (AMR) has escalated into a significant global health emergency, threatening the efficacy of life-saving antibiotics and posing challenges to contemporary healthcare systems. This review explores the multifaceted factors contributing to AMR, such as improper antibiotic usage in both humans and animals, insufficient antimicrobial stewardship, environmental pollution, unregulated pharmaceutical waste, and socioeconomic inequalities that hinder access to clean water, sanitation, and quality healthcare. India illustrates the intricacies of this crisis, with increasing resistance observed among high-priority pathogens like Escherichia coli, Klebsiella pneumoniae, Acinetobacter baumannii, and methicillin-resistant Staphylococcus aureus, worsened by extensive antibiotic application in agriculture and regulatory shortcomings. In spite of these obstacles, scientific and technological progress presents promising opportunities for intervention. Innovative approaches, including nanotechnology-based drug delivery, bacteriophage therapy, monoclonal antibodies, CRISPR-Cas gene targeting, artificial intelligence-driven diagnostics, and next-generation antibiotics, are reshaping the future of AMR management. Vaccination remains a potent preventive measure, lowering infection rates and thereby reducing antibiotic usage. At the policy level, initiatives such as the WHO Global Action Plan, the One Health framework, and India’s National Action Plan on AMR highlight the necessity of coordinated, multisectoral efforts. Effectively addressing AMR will demand ongoing global collaboration that merges innovation with robust health systems, comprehensive surveillance, judicious antibiotic use, and enhanced infection prevention and control. Without prompt action, the world risks entering a post-antibiotic era; however, with strategic investment and cross-sector commitment, AMR can be managed, ensuring the future of infectious disease treatment.
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Kalai Karuna K.1, Shyla I.1, Amal A.2*, Arya M. S.2, Senthilkumar N.3 (2026) studied this question.
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