TY - JOUR
AU - Godman, Brian
AU - Egwuenu, Abiodum
AU - Haque, Mainul
AU - Malande, Oliver O.
AU - Schellack, Natalie
AU - Kumar, Santosh
AU - Saleem, Zikria
AU - Sneddon, Jacqui
AU - Hoxha, Iris
AU - Islam, Salequl
AU - Mwita, Julius C.
AU - Nascimento, Renata Cristina Rezende Macedo do
AU - Godói, Isabella Piassi Dias
AU - Lum Niba, Loveline
AU - Amu, Adefolarin A.
AU - Acolatse, Joseph
AU - Incoom, Robert
AU - Sefah, Israel Abebrese
AU - Opanga, Sylvia A.
AU - Kurdi, Amanj
AU - Chikowe, Ibrahim
AU - Khuluza, Felix
AU - Kibuule, Dan
AU - Ogunleye, Olayinka O.
AU - Olalekan, Adesola
AU - Markovic-Pekovic, Vanda
AU - Meyer, Johanna C.
AU - Alfadl, Abubakr
AU - Phuong, Thuy Nguyen Thi
AU - Kalungia, Aubrey C.
AU - Campbell, Stephen
AU - Pisana, Alice
AU - Wale, Janney
AU - Seaton, R. Andrew
PY - 2021
DA - June
TI - Strategies to improve antimicrobial utilization with a special focus on developing countries
JO - Life
VL - 11
IS - 6
DO - https://doi.org/10.3390/life11060528
AB - Abstract: Antimicrobial resistance (AMR) is a high priority across countries as it increases mor-bidity, mortality and costs. Concerns with AMR have resulted in multiple initiatives interna-tionally, nationally and regionally to enhance appropriate antibiotic utilization across sectors to reduce AMR, with the overuse of antibiotics exacerbated by the COVID-19 pandemic. Effec-tively tackling AMR is crucial for all countries. Principally a narrative review of ongoing activi-ties across sectors was undertaken to improve antimicrobial use and address issues with vaccines including COVID-19. Point prevalence surveys have been successful in hospitals to identify areas for quality improvement programs, principally centering on antimicrobial stewardship pro-grams. These include reducing prolonged antibiotic use to prevent surgical site infections. Multiple activities centering on education have been successful in reducing inappropriate pre-scribing and dispensing of antimicrobials in ambulatory care for essentially viral infections such as acute respiratory infections. It is imperative to develop new quality indicators for ambulatory care given current concerns, and instigate programs with clear public health messaging to re-duce misinformation, essential for pandemics. Regular access to effective treatments is needed to reduce resistance to treatments for HIV, malaria and tuberculosis. Key stakeholder groups can instigate multiple initiatives to reduce AMR. These need to be followed-up.
PB - MDPI
UR - https://pureportal.strath.ac.uk/en/publications/strategies-to-improve-antimicrobial-utilization-with-a-special-fo
KW - Coronavirus (COVID-19)
ER