Progress on the national action plan of Pakistan on antimicrobial resistance (AMR): a narrative review and the implications

被引：58

作者：

Saleem, Zikria ^{[1
]}

Godman, Brian ^{[2
,3
,4
]}

Azhar, Faiza ^{[5
]}

Kalungia, Aubrey C. ^{[6
]}

Fadare, Joseph ^{[7
]}

Opanga, Sylvia ^{[8
]}

Markovic-Pekovic, Vanda ^{[9
]}

Hoxha, Iris ^{[10
]}

Saeed, Amna ^{[1
]}

Al-Gethamy, Manal ^{[11
]}

Haseeb, Abdul ^{[12
]}

Salman, Muhammad ^{[1
]}

Khan, Ayaz Ali ^{[1
]}

Nadeem, Muhammad Umer ^{[5
]}

Rehman, Inaam Ur ^{[5
]}

Qamar, Muhammad Usman ^{[13
]}

Amir, Afreenish ^{[14
]}

Ikram, Aamer ^{[14
]}

Hassali, Muhammad Azmi ^{[4
]}

机构：

[1] Univ Lahore, Fac Pharm, Dept Pharm Practice, Lahore, Pakistan

[2] Strathclyde Univ, Strathclyde Inst Pharm & Biomed Sci, Glasgow, Lanark, Scotland

[3] Sefako Makgatho Hlth Sci Univ, Sch Pharm, Ga Rankuwa, South Africa

[4] Univ Sains Malaysia, Sch Pharmaceut Sci, George Town, Malaysia

[5] Univ Punjab, Univ Coll Pharm, Dept Pharmaceut Chem, Lahore, Pakistan

[6] Univ Zambia, Dept Pharm, Lusaka, Zambia

[7] Ekiti State Univ, Dept Pharmacol & Therapeut, Ado Ekiti, Nigeria

[8] Univ Nairobi, Sch Pharm, Dept Pharmaceut & Pharm Practice, Nairobi, Kenya

[9] Univ Banja Luka, Fac Med, Dept Social Pharm, Banja Luka, Bosnia & Herceg

[10] Univ Med Tirana, Fac Med, Dept Pharm, Tirana, Albania

[11] Alnoor Specialist Hosp Makkah, Dept Infect Prevent & Control Program, Mecca, Saudi Arabia

[12] Umm Al Qura Univ, Coll Pharm, Dept Clin Pharm, Mecca, Saudi Arabia

[13] Govt Coll Univ Faisalabad, Fac Life Sci, Dept Microbiol, Faisalabad, Pakistan

[14] Natl Inst Hlth Islamabad, Dept Microbiol, Islamabad, Pakistan

来源：

EXPERT REVIEW OF ANTI-INFECTIVE THERAPY | 2022年 / 20卷 / 01期

关键词：

Antimicrobial resistance; antimicrobial utilization; antimicrobial surveillance; antimicrobial stewardship; national action plan; pakistan; RESPIRATORY-TRACT INFECTIONS; MIDDLE-INCOME COUNTRIES; ANTIBIOTIC-RESISTANCE; SELF-MEDICATION; RATIONAL USE; GENERAL-PRACTITIONERS; PHYSICIANS KNOWLEDGE; TYPHOID-FEVER; STEWARDSHIP; ATTITUDE;

D O I：

10.1080/14787210.2021.1935238

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Introduction: The emergence of antimicrobial resistance (AMR) is a threat to public health. In 2015, the World Health Organization (WHO) introduced a global action plan to tackle AMR in the World Health Assembly. Pakistan's national action plan (NAP) for AMR was released in May 2017 by the Ministry of National Health Services. Based on the NAP, strategies have been initiated on a national and provincial scale in Pakistan. Areas covered: This narrative review of the five components of the Pakistan NAP has been undertaken to discuss some of the challenges in implementation of the NAP for AMR in Pakistan including different opinions and views of key stakeholders, combined with suggestions on potential ways to reduce the burden of the AMR. Expert opinion: Going forward, healthcare authorities should focus on screening and monitoring of all the objectives of the NAP by establishing proper policies as well as promoting antimicrobial stewardship interventions and Infection prevention and control (IPC) practices. Overall, the comprehensive strengthening of the healthcare system is required to adequately implement the NAP, tackle continued inappropriate antimicrobial use and high AMR rates in Pakistan.

引用

页码：71 / 93

页数：23

共 214 条

[1]

Abbas K, 2020, LANCET GLOB HEALTH, V8, pE1264, DOI [10.1016/52214-109X(20)30308-9, 10.1016/S2214-109X(20)30308-9]

[2] Ongoing initiatives in Azerbaijan to improve the use of antibiotics; findings and implications [J].

Abilova, Vafa ;

Kurdi, Amanj ;

Godman, Brian .

EXPERT REVIEW OF ANTI-INFECTIVE THERAPY, 2018, 16 (01) :77-84

[3]

Ahmad Akram, 2015, Pharm Pract (Granada), V13, P523

[4] Antibiotic prescription patterns for treating dental infections in children among general and pediatric dentists in teaching institutions of Karachi, Pakistan [J].

Ahsan, Sadaf ;

Hydrie, Muhammad Zafar Iqbal ;

Naqvi, Syed Muhammad Zulfiqar Hyder ;

Shaikh, Munir Ahmed ;

Shah, Muhammad Zahid ;

Jafry, Syed Imtiaz Ahmed .

PLOS ONE, 2020, 15 (07)

[5] Health workers' education and training to prevent antimicrobial resistance [J].

Ajuebor, Onyema ;

Shetty, Nandini ;

Mah, Karen ;

Cometto, Giorgio .

BULLETIN OF THE WORLD HEALTH ORGANIZATION, 2019, 97 (12) :791-+

[6]

Akhtar F, 2010, PAK VET J, V30, P25

[7] Knowledge and Attitude of General Pakistani Population Towards Antibiotic Resistance [J].

Akhund, Ramsha ;

Jamshed, Fatima ;

Jaffry, Hassam A. ;

Hanif, Hamza ;

Fareed, Sundus .

CUREUS JOURNAL OF MEDICAL SCIENCE, 2019, 11 (03)

[8]

Alam Hafsa, 2020, Pure and Applied Biology, V9, P2175, DOI 10.19045/bspab.2020.90232

[9]

Ali I., 2017, J CLIN EXPT PHARM, V7

[10] Ritualisation of testing: problematising high-stakes English-language testing in Bangladesh [J].

Ali, Md. Maksud ;

Hamid, M. Obaidul ;

Hardy, Ian .

COMPARE-A JOURNAL OF COMPARATIVE AND INTERNATIONAL EDUCATION, 2020, 50 (04) :533-553

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