155 lines
4.9 KiB
YAML
155 lines
4.9 KiB
YAML
abstract: 'Antimicrobial stewardship (AMS) is a set of coordinated strategies to
|
|
|
|
improve the use of antimicrobials, to enhance patient outcomes, reduce
|
|
|
|
antimicrobial resistance, and decrease unnecessary costs. The pioneer
|
|
|
|
years of AMS were restricted to high-income countries (HIC), where
|
|
|
|
overconsumption of antibiotics was associated with emergence of
|
|
|
|
multidrug-resistant (MDR) bacteria. AMS in low- and middle-income
|
|
|
|
countries (LMIC) is also necessary. However, programs effective in HIC
|
|
|
|
may not perform as well in LMIC, because (i) While decreased consumption
|
|
|
|
of antibiotics may be an appropriate target in overconsuming HIC, this
|
|
|
|
may be dangerous in LMIC, where many patients die from the lack of
|
|
|
|
access to antibiotics; (ii) although AMS programs in HIC can be designed
|
|
|
|
and monitored through laboratory surveillance of resistance,
|
|
|
|
surveillance programs are not available in many LMIC; (iii) the
|
|
|
|
heterogeneity of health care systems implies that AMS programs must be
|
|
|
|
carefully contextualized. Despite the need to individually tailor AMS
|
|
|
|
programs in LMIC, international collaborations remain highly valuable,
|
|
|
|
through the dissemination of high-quality documents and educational
|
|
|
|
material, that may be shared, adapted where needed, and adopted
|
|
|
|
worldwide. This process, facilitated by modern communication tools,
|
|
|
|
combines many benefits, including: (i) saving time, a precious dimension
|
|
|
|
for health care workers, by avoiding the duplication of similar works in
|
|
|
|
different settings; (ii) taking advantage of colleagues skills, and
|
|
|
|
initiatives, through open access to the work performed in other parts of
|
|
|
|
the world; (iii) sharing experiences, so that we all learn from each
|
|
|
|
others'' successes and failures.'
|
|
affiliation: 'Tattevin, P (Corresponding Author), Pontchaillou Univ, Infect Dis \&
|
|
Intens Care Unit, Ctr Hosp, Rennes, France.
|
|
|
|
Tattevin, Pierre, Pontchaillou Univ, Infect Dis \& Intens Care Unit, Ctr Hosp, Rennes,
|
|
France.
|
|
|
|
Levy Hara, Gabriel, Hosp Carlos G Durand, Infect Dis Unit, Buenos Aires, DF, Argentina.
|
|
|
|
Toumi, Adnene, Monastir Univ Hosp, Dept Infect Dis, Monastir, Tunisia.
|
|
|
|
Enani, Mushira, King Fahad Med City, Fac Med, Riyadh, Saudi Arabia.
|
|
|
|
Coombs, Geoffrey, Murdoch Univ, Antimicrobial Resistance \& Infect Dis Res Lab,
|
|
Perth, WA, Australia.
|
|
|
|
Voss, Andreas, Canisius Wilhelmina Hosp, Dept Med Microbiol \& Infect Dis, Nijmegen,
|
|
Netherlands.
|
|
|
|
Voss, Andreas; Wertheim, Heiman, Radboudumc, Dept Med Microbiol, Nijmegen, Netherlands.
|
|
|
|
Voss, Andreas; Wertheim, Heiman, Radboud Ctr Infect Dis, Nijmegen, Netherlands.
|
|
|
|
Poda, Armel, Souro Sanou Univ Hosp, Dept Infect Dis, Bobo Dioulasso, Burkina Faso.
|
|
|
|
Daoud, Ziad, St George Hosp UMC, Clin Microbiol, Beirut, Lebanon.
|
|
|
|
Daoud, Ziad, Univ Balamand, Beirut, Lebanon.
|
|
|
|
Laxminarayan, Ramanan, Ctr Dis Dynam Econ \& Policy CDDEP, New Delhi, India.
|
|
|
|
Nathwani, Dilip, Ninewells Hosp \& Med Sch, Dundee, Scotland.
|
|
|
|
Gould, Ian, Aberdeen Royal Infirm, Aberdeen, Scotland.'
|
|
article-number: '503'
|
|
author: 'Tattevin, Pierre and Levy Hara, Gabriel and Toumi, Adnene and Enani, Mushira
|
|
and Coombs, Geoffrey and Voss, Andreas and Wertheim, Heiman and Poda, Armel and
|
|
Daoud, Ziad and Laxminarayan, Ramanan and Nathwani, Dilip and Gould, Ian and APUA, and
|
|
ISAC, '
|
|
author-email: pierre.tattevin@chu-rennes.fr
|
|
author_list:
|
|
- family: Tattevin
|
|
given: Pierre
|
|
- family: Levy Hara
|
|
given: Gabriel
|
|
- family: Toumi
|
|
given: Adnene
|
|
- family: Enani
|
|
given: Mushira
|
|
- family: Coombs
|
|
given: Geoffrey
|
|
- family: Voss
|
|
given: Andreas
|
|
- family: Wertheim
|
|
given: Heiman
|
|
- family: Poda
|
|
given: Armel
|
|
- family: Daoud
|
|
given: Ziad
|
|
- family: Laxminarayan
|
|
given: Ramanan
|
|
- family: Nathwani
|
|
given: Dilip
|
|
- family: Gould
|
|
given: Ian
|
|
- family: APUA
|
|
given: ''
|
|
- family: ISAC
|
|
given: ''
|
|
da: '2023-09-28'
|
|
doi: 10.3389/fmed.2020.00503
|
|
eissn: 2296-858X
|
|
files: []
|
|
journal: FRONTIERS IN MEDICINE
|
|
keywords: 'antimicrobial stewardship; low; and middle; income countries;
|
|
|
|
antibiotics; resistance; education'
|
|
keywords-plus: 'ANTIBIOTIC STEWARDSHIP; INTERVENTIONS; IMPACT; MANAGEMENT; PROGRAM;
|
|
|
|
DISEASE; ACCESS'
|
|
language: English
|
|
month: AUG 25
|
|
number-of-cited-references: '45'
|
|
orcid-numbers: 'Daoud, Ziad/0000-0001-7139-6282
|
|
|
|
Coombs, Geoffrey/0000-0003-1635-6506
|
|
|
|
Wertheim, Heiman/0000-0002-5003-5565'
|
|
papis_id: ebf5767b04f39580fd434bdfb309eefd
|
|
ref: Tattevin2020advocacyincreased
|
|
researcherid-numbers: 'Laxminarayan, Ramanan/ABD-5050-2021
|
|
|
|
Daoud, Ziad/AAW-7121-2021
|
|
|
|
Wertheim, Heiman/F-3338-2016'
|
|
times-cited: '13'
|
|
title: Advocacy for Increased International Efforts for Antimicrobial Stewardship
|
|
Actions in Low-and Middle-Income Countries on Behalf of Alliance for the Prudent
|
|
Use of Antimicrobials (APUA), Under the Auspices of the International Society of
|
|
Antimicrobial Chemotherapy (ISAC)
|
|
type: article
|
|
unique-id: WOS:000570407800001
|
|
usage-count-last-180-days: '0'
|
|
usage-count-since-2013: '5'
|
|
volume: '7'
|
|
web-of-science-categories: Medicine, General \& Internal
|
|
year: '2020'
|