Antimicrobial resistance (AMR) has been declared as a global public health emergency by the World Health Organization. Low-income and middle- income countries (LMICs) including the Philippines bear the most impact of AMR infections. Molecular surveillance using whole-genome sequencing (WGS) can be a valuable addition to phenotypic surveillance of AMR. However, due to its high operational cost and process complexity, this surveillance type is mostly carried out in high-income countries. This current publication of the NIHR Global Health Research Unit on Genomic Surveillance of AMR in collaboration with Antimicrobial Resistance Surveillance Reference Laboratory presents a roadmap of strategies on how to overcome the obstacles in the implementation of whole genome sequencing among LMICs.

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