From the Department of Community Medicine, Maulana Azad Medical College, New Delhi, India.
Department of Pediatrics, Faculty of Medicine, San Simon University, Cochabamba, Bolivia.
Pediatr Infect Dis J. 2022 Mar 1;41(3S):S18-S25. doi: 10.1097/INF.0000000000003321.
Antimicrobial resistance is a global health threat and there is an urgent need to manage antibiotic use to slow its development. However, antimicrobial stewardship interventions in low- and middle-income countries (LMIC) have been limited in terms of their resourcing, feasibility and effectiveness in the face of greater challenges in child mortality. We sought to gather together examples of antibiotic use problems faced by clinicians in LMIC, many of which are unique to these settings, and real-world antimicrobial stewardship solutions identified, with the goal of learning broader lessons that might be applicable across LMIC.
抗菌药物耐药性是全球健康所面临的一项威胁，急需管理抗生素的使用以减缓其发展。然而，在儿童死亡率面临更大挑战的情况下，中低收入国家（LMIC）的抗菌药物管理干预措施在资源、可行性和有效性方面受到限制。我们试图收集在 LMIC 中临床医生所面临的抗生素使用问题的实例，其中许多问题是这些环境所特有的，并确定实际存在的抗菌药物管理解决方案，目标是从中吸取更广泛的经验教训，这些经验教训可能适用于所有 LMIC。
