Global Antimicrobial Stewardship with a Focus on Low- and Middle-Income Countries

被引:92
作者
Pierce, Jacob [1 ]
Apisarnthanarak, Anucha [2 ]
Schellack, Natalie [3 ]
Cornistein, Wanda [4 ]
Al Maani, Amal [5 ]
Adnan, Syamhanin [6 ]
Stevens, Michael P. [1 ]
机构
[1] Virginia Commonwealth Univ, Div Infect Dis, Dept Internal Med, Sch Med, 1000 E Marshall St, Richmond, VA 23298 USA
[2] Thammasart Univ Hosp, 8 95 Phahonyothin Rd, Khlong Luang Dist 12120, Pathum Thani, Thailand
[3] Sefako Makgatho Hlth Sci Univ, Sch Pharm, Motlegi St,Ga Rankuwa Zone 1, ZA-0208 Pretoria, Ga Rankuwa, South Africa
[4] Hosp Univ Austral, Ave Juan Domingo Peron 1500, Buenos Aires, DF, Argentina
[5] Directorate Gen Dis Surveillance & Control, MOH POBox 393, Muscat 100, Oman
[6] Hosp Sungai Buloh, Infect Dis Ctr, Jalan Hosp, Sungai Buloh 47000, Selangor, Malaysia
关键词
Antimicrobial stewardship; low- and middle-income countries; antimicrobial resistance; ANTIBIOTIC STEWARDSHIP; RESISTANCE; CONSUMPTION; HEALTH; IMPACT; SOUTH; INFECTIONS; MEDICATION; REDUCTION; MORTALITY;
D O I
10.1016/j.ijid.2020.05.126
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Antimicrobial resistance is a global public health crisis. Antimicrobial Stewardship involves adopting systematic measures to optimize antimicrobial use, decrease unnecessary antimicrobial exposure and to decrease the emergence and spread of resistance. Low- and middle-income countries (LMICs) face a disproportionate burden of antimicrobial resistance and also face challenges related to resource availability. Although challenges exist, the World Health Organization has created a practical toolkit for developing Antimicrobial Stewardship Programs (ASPs) that will be summarized in this article. (C) 2020 The Authors. Published by Elsevier Ltd on behalf of International Society for Infectious Diseases.
引用
收藏
页码:621 / 629
页数:9
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