Health
Drug-Resistant Infections Projected to Surge Across Europe as Population Ages
Rates of bloodstream infections caused by antibiotic-resistant bacteria are expected to rise sharply across Europe in the coming years, with older adults likely to be the hardest hit, according to a new study published in PLOS Medicine.
The research found that as Europe’s population continues to age, infections caused by so-called “superbugs” will become increasingly common and dangerous. Antimicrobial resistance (AMR) occurs when bacteria evolve to the point where antibiotics are no longer effective, leading to harder-to-treat infections. Globally, these resistant pathogens already kill around one million people each year.
The study projected that rates of drug-resistant infections will climb steadily through 2030, with significant variations depending on the country, gender, age group, and specific bacteria-antibiotic combinations. Overall, the increase in bloodstream infections is expected to range from 22.2 percent for Streptococcus pneumoniae infections among women to 61.5 percent for Klebsiella pneumoniae infections among men.
The analysis also found that men are likely to experience higher infection rates than women for six of the eight bacterial types examined. The uptick will have a greater impact on older adults, particularly those aged 74 and above, who are more vulnerable to severe complications such as sepsis when bloodstream infections occur.
“Our study shows that the future burden of drug-resistant infections won’t be uniform,” said Gwenan Knight, senior author of the study and co-director of the Antimicrobial Resistance Centre at the London School of Hygiene & Tropical Medicine. “Age and sex are still rarely considered in antimicrobial resistance projections, yet they make a real difference to who is most affected.”
To conduct the analysis, researchers examined data from over 12.8 million blood tests across 29 European countries between 2010 and 2019. Using these data, they developed models to forecast trends in bloodstream infections through 2050.
Knight said that understanding which populations face the greatest risk will help scientists and policymakers design more effective prevention and treatment strategies. Tailored interventions could include improving infection control measures in hospitals and care homes, investing in new antibiotics, and promoting responsible antibiotic use.
However, the study cautioned that meeting international targets to curb antibiotic resistance will be difficult. The World Health Organization and other global health bodies have set a goal of reducing antibiotic-resistant infections by 10 percent by 2030. According to the research, this target is likely achievable for only about two-thirds of the bacteria-antibiotic combinations studied.
Given the growing threat, Knight noted that holding infection rates steady could itself be a public health success. “Simply preventing further rises in resistant bloodstream infections would already be a major public health achievement,” she said.
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