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Hong Kong Hospital Authority warns of surge in 2 superbugs, turns to AI in fight against antibiotic overuse

  • Number of patients carrying vancomycin-resistant enterococci and Candida auris has increased in first three quarters of 2023, Dr Raymond Lai says
  • AI-driven pilot scheme to analyse clinical data and determine whether antibiotics are necessary for treatment

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The pilot scheme will launch in January next year at Prince of Wales Hospital and Princess Margaret Hospital. Photo: Shutterstock Images

Two superbugs are on the rise among patients in Hong Kong, the Hospital Authority has warned while announcing a pilot scheme that uses artificial intelligence (AI) to combat antibiotic overuse.

Dr Raymond Lai Wai-man, the authority’s chief infection control officer, said the number of patients carrying vancomycin-resistant enterococci (VRE) and Candida auris had increased in the first three quarters of 2023 compared with previous years.

Lai attributed the trend to fewer resources allocated to combating multidrug-resistant organisms (MDROs) over the past two to three years as efforts were redirected to battle the Covid-19 pandemic.

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“We used many isolation wards for Covid-19 patients, which means there were fewer wards for those infected with MDROs,” he said. “Our staff spent a lot of time taking care of Covid-19 patients.

“Also, when Covid-19 patients were hospitalised, they might have been in poor condition with pneumonia. As doctors were worried there could be co-infections, they might have prescribed broad-spectrum antibiotics.”

Dr Raymond Lai says there has been an increase in the number of patients carrying two types of multidrug-resistant organisms. Photo: Michelle Wong
Dr Raymond Lai says there has been an increase in the number of patients carrying two types of multidrug-resistant organisms. Photo: Michelle Wong

But he explained that after a drop in coronavirus infections this year, the prevalence of commonly occurring superbugs had returned to pre-pandemic levels, except for VRE and Candida auris.

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