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Cancer Patients Face Elevated Risk of Carrying Antimicrobial Resistant 'Superbugs' First-of-their-kind studies published in The Lancet Oncology1 and Cancer Medicine2 provide new data showing that cancer patients in both hospital and ...

Key Takeaway: Recent studies published in The Lancet Oncology and Cancer Medicine have found that cancer patients are at a significantly higher risk of antimicrobial resistant (AMR) infections compared to non-cancer patients. This highlights the vulnerability of cancer patients to 'superbugs', which could jeopardize the effectiveness of critical treatments such as CAR T-cell therapy. Experts emphasize the urgent need for improved infection prevention measures and antibiotic stewardship to combat this rising threat within oncology.

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POSITIVE FACTORS

  • Studies provide important data on AMR among cancer patients.
  • Identification of the elevated risk can lead to improved treatment protocols.

CONCERNS & RISKS

  • Cancer patients face a much higher risk of developing AMR infections.
  • The rise of AMR threatens to undermine cancer care and treatment innovations.

Full Press Release Details

FRANKLIN LAKES, N.J. , May 21, 2025 /PRNewswire/ -- First-of-their-kind studies published in The Lancet Oncology 1 and Cancer Medicine 2 provide new data showing that cancer patients in both hospital and outpatient settings are at a substantially higher risk of developing antimicrobial resistant (AMR) infections compared to all other non-cancer patients.
Together, the two studies, which are understood to be the first large, multi-center studies to quantify AMR among cancer patients in the U.S., offer some of the strongest evidence to date that superbugs pose a substantial risk to cancer patients across a variety of settings.
"As an oncologist, my ability to effectively treat a patient's cancer is predicated on the idea that antibiotics will both cure and prevent potentially fatal infections throughout their course of care," said study co-author Yehoda Martei, MD, University of Pennsylvania . "The rapid emergence of AMR among oncology patients will affect cancer care, including the possibility of undermining new innovations such as CAR T-cell therapy and other immunotherapies, given the risk of immunosuppression and opportunistic infections associated with these therapies."
The rise of AMR is rapidly diminishing the effectiveness of available antimicrobial medicines, contributing to approximately 4.7 million deaths per year. 4 Antibiotics and other antimicrobials like antifungals play a critical role in cancer care, both as a treatment for infections and as a preventative treatment to reduce the risk of infections associated with certain medical procedures, such as surgery or chemotherapy.
"These studies highlight a critical need for enhanced infection prevention programs, focused antibiotic and diagnostic stewardship, and an increased use of rapid diagnostic tools," said corresponding author Diane Flayhart , director Global Public Health at BD. "While we expected cancer patients to be at an increased risk of superbugs, we were surprised at the high proportion of AMR pathogens compared to non-cancer patients, especially in outpatient settings. It shows just how vulnerable cancer patients are to these dangerous pathogens."
Read more in The Lancet Oncology : "Incidence and prevalence of antimicrobial resistance in outpatients with cancer: a multicentre retrospective cohort study. "
BD is one of the largest global medical technology companies in the world and is advancing the world of health by improving medical discovery, diagnostics and the delivery of care. The company supports the heroes on the frontlines of health care by developing innovative technology, services and solutions that help advance both clinical therapy for patients and clinical process for health care providers. BD and its more than 70,000 employees have a passion and commitment to help enhance the safety and efficiency of clinicians' care delivery process, enable laboratory scientists to accurately detect disease and advance researchers' capabilities to develop the next generation of diagnostics and therapeutics. BD has a presence in virtually every country and partners with organizations around the world to address some of the most challenging global health issues. By working in close collaboration with customers, BD can help enhance outcomes, lower costs, increase efficiencies, improve safety and expand access to health care. For more information on BD, please visit bd.com or connect with us on LinkedIn at www.linkedin.com/company/bd1/ , X (formerly Twitter) @BDandCo or Instagram @becton_dickinson .
1 Incidence and prevalence of antimicrobial resistance in outpatients with cancer: a multicentre retrospective cohort study," Vikas Gupta, Michael J. Satlin, Kalvin Yu, Yehoda M. Martei, Lillian Sung, Lars F. Westblade, Scott C. Howard, ChinEn Ai, Diane C. Flayhart, The Lancet Oncology, online April 30, 2025, doi: added after embargo.
2 "Burden of Antimicrobial Resistance in Adult Hospitalized Patients With Cancer: A Multicenter Analysis," Vikas Gupta, Michael J. Satlin, Kalvin Yu, Yehoda M. Martei, Lillian Sung, Lars F. Westblade, Scott C. Howard, ChinEn Ai, Diane C. Flayhart, Cancer Medicine, online December 13, 2024, doi: 10.1002/cam4.70495
3 AMR rates among key pathogens were 1 to 3 times higher overall in cancer patients, with some specific pathogen-source combinations such as vancomycin-resistant enterococci (VRE) and multidrug-resistant Pseudomonas aeruginosa (MDR-PA) more than 5 times greater for cancer patients in outpatient settings compared to patients without cancer.
4 https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance
Contact: Jessica Offerjost BD Public Relations [email protected]
SOURCE BD (Becton, Dickinson and Company)

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Frequently Asked Questions

What do the studies in The Lancet Oncology reveal?

The studies indicate that cancer patients face a significantly higher risk of antimicrobial resistant infections compared to non-cancer patients.

How do AMR infections impact cancer treatment?

AMR infections can undermine the effectiveness of cancer treatments, including immunotherapies like CAR T-cell therapy.

What is the critical finding regarding outpatient cancer patients?

A surprising proportion of antimicrobial resistant pathogens were found in outpatient cancer patients compared to non-cancer patients.

What do the authors suggest for improving cancer care?

The authors recommend enhanced infection prevention programs, antibiotic stewardship, and using rapid diagnostic tools.

What role do antibiotics play in cancer care?

Antibiotics are crucial for treating infections and preventing them during procedures like chemotherapy.

Last updated: May 21, 2025