Strategies to Improve Antimicrobial Utilization with a Special Focus on Developing Countries

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dc.contributor.authorGodman, Brian
dc.contributor.authorEgwuenu, Abiodun
dc.contributor.authorHaque, Mainul
dc.contributor.authorOmbeva Malande, Oliver
dc.contributor.authorSchellack, Natalie
dc.contributor.authorKumar, Santosh
dc.contributor.authorSaleem, Zikria
dc.contributor.authorSneddon, Jacqueline
dc.contributor.authorHoxha, Iris
dc.contributor.authorIslam, Salequl
dc.contributor.authorMwita, Julius
dc.contributor.authorRezende Macedo do Nascimento, Renata Cristina
dc.contributor.authorPiassi Dias Godói, Isabella
dc.contributor.authorLum Niba, Loveline
dc.contributor.authorAmu, Adefolarin A.
dc.contributor.authorAcolatse, Joseph
dc.contributor.authorIncoom, Robert
dc.contributor.authorAbebrese Sefah, Israel
dc.contributor.authorOpanga, Sylvia
dc.contributor.authorKurdi, Amanj
dc.contributor.authorChikowe, Ibrahim
dc.contributor.authorKhuluza, Felix
dc.contributor.authorKibuule, Dan
dc.contributor.authorOgunleye, Olayinka O.
dc.contributor.authorOlalekan, Adesola
dc.contributor.authorMarkovic-Pekovic, Vanda
dc.contributor.authorMeyer, Johanna C.
dc.contributor.authorAlfadl, Abubakr
dc.contributor.authorThi Phuong, Thuy Nguyen
dc.contributor.authorKalungia, Aubrey C.
dc.contributor.authorCampbell, Stephen
dc.contributor.authorPisana, Alice
dc.contributor.authorWale, Janney
dc.contributor.authorSeaton, R. Andrew
dc.date.accessioned2023-08-21T14:08:54Z
dc.date.available2023-08-21T14:08:54Z
dc.date.issued2021
dc.descriptionReview paper
dc.description.abstractAntimicrobial resistance (AMR) is a high priority across countries as it increases morbidity, mortality and costs. Concerns with AMR have resulted in multiple initiatives internationally, nationally and regionally to enhance appropriate antibiotic utilization across sectors to reduce AMR, with the overuse of antibiotics exacerbated by the COVID-19 pandemic. Effectively tackling AMR is crucial for all countries. Principally a narrative review of ongoing activities 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 programs. These include reducing prolonged antibiotic use to prevent surgical site infections. Multiple activities centering on education have been successful in reducing inappropriate prescribing 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 reduce 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. Keywords: antimicrobials; antimicrobial stewardship programs; antimicrobial resistance; healthcareassociated infections; COVID-19; lower- and middle-income countries; misinformation; patient initiatives; surgical site infections; vaccines
dc.description.sponsorshipKarnavati University, The University of Lahore, Jahangirnagar University, Busitema University
dc.identifier.citationGodman, B.; Egwuenu, A.; Haque, M.; Malande, O.O.; Schellack, N.; Kumar, S.; Saleem, Z.; Sneddon, J.; Hoxha, I.; Islam, S.; et al. Strategies to Improve Antimicrobial Utilization with a Special Focus on Developing Countries. Life 2021, 11, 528. https://doi.org/10.3390/life11060528
dc.identifier.urihttps://doi.org/10.60682/adbg-qh32
dc.language.isoen
dc.publisherMDPI
dc.subjectResearch Subject Categories::PHARMACY::Pharmaceutical microbiology
dc.titleStrategies to Improve Antimicrobial Utilization with a Special Focus on Developing Countries
dc.typeOther
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