Research Assistant, Department of Community Medicine, ESIC Medical College and PGIMSR, Chennai, Tamil Nadu, India.
Assistant Professor, Department of Community Medicine, ESIC Medical College and PGIMSR, Chennai, Tamil Nadu, India.
Indian J Public Health. 2022 Jul-Sep;66(3):352-354. doi: 10.4103/ijph.ijph_274_22.
The rise in cases of antibiotic resistance can be mainly attributed to the overuse and misuse of antibiotics. To address this issue, the WHO launched Access, Watch, and Reserve (AWaRe) classification of antibiotics in 2017 as a surveillance tool. Many countries have adopted it to monitor and optimize their antibiotic usage. However, implementation of it is yet not seen at a very appreciable level. Through this survey, we tried to explore the prescribing pattern of antibiotics based on the WHO AWaRe classification in selected secondary and tertiary care health facilities of Tamil Nadu. In-patient case sheets were audited in selected departments across 18 health facilities in six districts. Proportionately higher use of the watch group of antibiotics was found in all the districts. A lower access-watch ratio suggests the need for judicious implementation of such tools to safeguard this life-saving good and ensuring its sustainability.
抗生素耐药性病例的增加主要归因于抗生素的过度使用和滥用。为了解决这个问题，世界卫生组织（WHO）在 2017 年推出了抗生素的“准入、监控和保留”（AWaRe）分类，作为一种监测工具。许多国家已经采用了这一工具来监测和优化抗生素的使用。然而，其实施程度还远远不够。通过这项调查，我们试图根据 WHO AWaRe 分类，在泰米尔纳德邦的选定二级和三级保健设施中，探索基于抗生素的处方模式。在六个地区的 18 个卫生机构的选定科室中，对住院病历进行了审核。在所有地区，都发现“监控”类抗生素的使用比例较高。较低的“准入-监控”比值表明，需要审慎实施这类工具，以保护这种救命良药，并确保其可持续性。
