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