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The urgent need to integrate infectious diseases expertise into the management of cancer patients with infections in sub-Saharan Africa in the era of antimicrobial resistance: a policy brief

Year: 2026
Type: article
Abstract: Antimicrobial resistance (AMR) is a global health concern. Cancer patients are 1.5-2 times more likely to be affected by AMR than other patient groups. This policy brief, informed by microbiological studies conducted at the Uganda Cancer Institute since 2014, presents key recommendations and implementation strategies for the management of bacterial infections in cancer patients in sub-Saharan Africa (SSA). Our recommendations include strengthening AMR surveillance, implementing context-specific infection prevention and control and antimicrobial stewardship programs, and raising awareness of AMR in cancer in the health sector and community in SSA. A collaborative multidisciplinary approach which includes infectious diseases expertise is required to effectively implement health policies and guidelines. Proactive and effective health policies which address AMR in cancer are critical in cancer centers in SSA.
DOI: 10.3389/fphar.2026.1889223
Authors: Margaret Lubwama, Elizabeth Gulleen, Simon Sekyanzi, Benon Asiimwe, Alhaji Njai, Jody Winter, Lesley Hoyles, Nixon Niyonzima, Jackson Orem, Henry Ddungu, Joyce Kambugu, Annet Nakaganda, David P. Kateete, Warren Phipps, Freddie Bwanga
Institutions: Makerere University, University of Minnesota, Uganda Cancer Institute, University of Sierra Leone, Nottingham Trent University, University of Washington, Fred Hutch Cancer Center
Language: English
Open Access status: gold
Estimated APC paid: $3,801
OpenAlex ID: W7203836808
FWCI:
Cites: 28
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