Chandy Sujith J, Michael Joy Sarojini, Veeraraghavan Balaji, Abraham O C, Bachhav Sagar S, Kshirsagar Nilima A
Office of National Chair in Clinical Pharmacology, Indian Council of Medical Research, Mumbai, India.
Indian J Med Res. 2014 Feb;139(2):226-30.
Antimicrobial resistance and hospital infections have increased alarmingly in India. Antibiotic stewardship and hospital infection control are two broad strategies which have been employed globally to contain the problems of resistance and infections. For this to succeed, it is important to bring on board the various stakeholders in hospitals, especially the clinical pharmacologists. The discipline of clinical pharmacology needs to be involved in themes such as antimicrobial resistance and hospital infection which truly impact patient care. Clinical pharmacologists need to collaborate with faculty in other disciplines such as microbiology to achieve good outcomes for optimal patient care in the hospital setting. The ASPIC programme was initiated by the Indian Council of Medical Research (ICMR) in response to the above need and was designed to bring together faculty from clinical pharmacology, microbiology and other disciplines to collaborate on initiating and improving antibiotic stewardship and concurrently curbing hospital infections through feasible infection control practices. This programme involves the participation of 20 centres per year throughout the country which come together for a training workshop. Topics pertaining to the above areas are discussed in addition to planning a project which helps to improve antibiotic stewardship and infection control practices in the various centres. It is hoped that this programme would empower hospitals and institutions throughout the country to improve antibiotic stewardship and infection control and ultimately contain antimicrobial resistance.
印度的抗菌药物耐药性和医院感染问题激增，令人担忧。抗生素管理和医院感染控制是全球范围内用于遏制耐药性和感染问题的两大主要策略。要使这些策略取得成功，让医院的各类利益相关者参与进来非常重要，尤其是临床药理学家。临床药理学学科需要参与到真正影响患者护理的抗菌药物耐药性和医院感染等主题中。临床药理学家需要与微生物学等其他学科的教员合作，以便在医院环境中为实现最佳患者护理取得良好效果。印度医学研究理事会（ICMR）针对上述需求启动了抗菌药物管理与感染控制协作计划（ASPIC），该计划旨在汇聚临床药理学、微生物学及其他学科的教员，共同合作启动并改善抗生素管理工作，同时通过可行的感染控制措施遏制医院感染。该计划每年有全国20个中心参与，这些中心会齐聚一堂参加培训研讨会。除了规划一个有助于改善各中心抗生素管理和感染控制措施的项目外，还会讨论与上述领域相关的主题。希望该计划能使全国的医院和机构有能力改善抗生素管理和感染控制，最终遏制抗菌药物耐药性。
