Department of Microbiology, Faculty of Science, Federal University Birnin-Kebbi, Birnin-Kebbi, Kebbi State, Nigeria.
Antimicrob Resist Infect Control. 2024 Feb 14;13(1):19. doi: 10.1186/s13756-024-01371-y.
The escalating challenge of antimicrobial resistance (AMR) poses a considerable concern for global health, particularly impacting low- and middle-income countries (LMICs). This article highlights the critical importance of tackling AMR in LMICs by adopting the Global Antimicrobial Stewardship Accreditation Scheme (GAMSAS). GAMSAS is portrayed as a holistic and sustainable strategy for antimicrobial stewardship, extending beyond accreditation to include educational programs, capacity enhancement, improved surveillance, and support for AMS policy research. While acknowledging the global uptake of the scheme, the article highlights its preliminary phase of adoption in LMICs, particularly in high-AMR burden regions like Sub-Saharan Africa. The piece stresses the imperative for LMICs to integrate GAMSAS, underscoring its significance in optimizing antimicrobial usage and patient health outcomes. It advocates for an all-encompassing approach that leverages international cooperation and sustained financial backing, crucial for the effective deployment and enduring success of antimicrobial stewardship efforts in these key areas.
抗菌药物耐药性(AMR)不断升级,对全球健康构成重大威胁,尤其对中低收入国家(LMICs)影响严重。本文强调了通过采用全球抗菌药物管理认证计划(GAMSAS)来解决中低收入国家 AMR 问题的重要性。GAMSAS 被描绘为一种全面且可持续的抗菌药物管理策略,不仅限于认证,还包括教育计划、能力增强、加强监测以及对抗菌药物管理政策研究的支持。尽管该计划已在全球范围内得到采纳,但本文强调了其在中低收入国家的初步采用阶段,特别是在高 AMR 负担地区,如撒哈拉以南非洲。文章强调了中低收入国家必须整合 GAMSAS 的紧迫性,强调其在优化抗菌药物使用和患者健康结果方面的重要性。它倡导采取一种全面的方法,利用国际合作和持续的财政支持,这对于在这些关键领域有效部署和持久成功实施抗菌药物管理工作至关重要。