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Implications of Antibiotic Resistance in Potential Agents of Bioterrorism

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Antimicrobial Drug Resistance

Part of the book series: Infectious Disease ((ID))

One of the latest challenges to global public health is the deliberate dissemination of a biological agent via a number of different routes, including air, water, food, and infected vectors, to affect the health of humans. U.S. Congress began to address this challenge by providing funding to the Centers for Disease Control and Prevention (CDC) to enhance the ability of the nation’s epidemiology and laboratory systems to respond to the deliberate release of a biological agent (1). A Strategic National Stockpile (SNS, formerly called the National Pharmaceutical Stockpile) was also established to provide large quantities of essential medical materiel to states and communities during such an emergency. The SNS contains antibiotics as well as chemical antidotes, antitoxins, life-support medications, intravenous administration kits, airway maintenance supplies, and medical/surgical items (2). The broad–spectrum antibiotics in the SNS play an important role in providing postexposure prophylaxis and treatment for individuals exposed to or infected with a bacterial agent as a result of a deliberate release. The antibiotics in the SNS were selected, in part, for their effectiveness on the basis of the current data for antimicrobial susceptibility of each bacterial species. However, revelations during the last decade suggested that in the former Soviet Union, a priority of the offensive biological weapons program was the development of recombinant organisms that were resistant to common therapies (3–5). With the increased potential for deliberate dispersal of antimicrobial–resistant pathogens, determining the antimicrobial susceptibility of suspected agents of bioterrorism has become essential for selection and distribution of effective prophylactic or therapeutic treatments. The objective of this chapter is to examine issues concerning antimicrobial susceptibility testing and antimicrobial resistance in selected bacterial agents that have been identifi ed for public health preparedness efforts.

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Weigel, L.M., Morse, S.A. (2009). Implications of Antibiotic Resistance in Potential Agents of Bioterrorism. In: Mayers, D.L. (eds) Antimicrobial Drug Resistance. Infectious Disease. Humana Press. https://doi.org/10.1007/978-1-60327-595-8_44

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