Kumar Arvind, Sahu Monalisa, Sahoo Pradipt Ranjan, Wig Naveet
Faculty, Department of Medicine, All India Institute of Medical Sciences, New Delhi.
Senior Resident, Infectious Disease, Department of Medicine, All India Institute of Medical Science, New Delhi.
J Assoc Physicians India. 2018 Dec;66(12):69-71.
Antimicrobial resistance accounts for the greatest threat to the health system. The most appropriate path to mitigate this menace is a collaborative, multidisciplinary approach combining antimicrobial stewardship with infection prevention. Sustainable efforts to overcome this global problem would require awareness, learning and coordination at various levels in the health system. Government policies, national guidelines, collaborative functioning in research, online training modules, and media have an important role in combating the threat. We recommend a multipronged approach involving the infection control specialist, as well as various cadres of health-care providers, including pharmacists, the nurses and community-level health workers. We also recommend that all health-care professionals prescribing antibiotics take responsibility and understand the adverse consequences of inappropriate and suboptimal antibiotic usage. Certain countries in the world have already in place the antimicrobial stewardship programme with multi-disciplinary approach. India needs to have a strengthened anti-microbial stewardship programme involving all cadres of health-care providers.
抗微生物药物耐药性是卫生系统面临的最大威胁。减轻这一威胁的最合适途径是采取一种协作性的多学科方法，将抗微生物药物管理与感染预防相结合。克服这一全球性问题的可持续努力需要卫生系统各级提高认识、加强学习并进行协调。政府政策、国家指南、研究中的协作运作、在线培训模块以及媒体在应对这一威胁方面发挥着重要作用。我们建议采取多管齐下的方法，涉及感染控制专家以及各类医护人员，包括药剂师、护士和社区卫生工作者。我们还建议，所有开具抗生素的医护专业人员都应承担责任，并了解不恰当和次优使用抗生素的不良后果。世界上某些国家已经实施了多学科方法的抗微生物药物管理计划。印度需要加强抗微生物药物管理计划，让所有医护人员参与其中。
