State IYCF consultant, State Resource Centre, Nalanda Medical College and Hospital, Agamkuan, Patna 800007, Bihar, INDIA.
Assistant Professor, Department of Community Medicine, ESIC Medical College & Hospital, Hyderabad 500038, Telangana, INDIA.
Indian J Med Ethics. 2024 Jan-Mar;IX(1):35-40. doi: 10.20529/IJME.2023.072.
The increase in the number of cases of antimicrobial resistance has gained attention worldwide. The main drivers of this situation are the misuse and overuse of antimicrobials for human and animal health. The imbalance between ensuring appropriate use of antimicrobials and providing equal access in the community makes this an ethical issue. The antimicrobial stewardship programme was initiated in response to this global crisis. Its framework includes interventions targeting the optimisation of antimicrobials in hospitals. Various countries have adopted stewardship interventions, and many success stories have been published. However, the steering of this programme faces hurdles due to the complexity that surrounds decision making in antimicrobial prescription, and the challenges of health systems in lower and middle income countries like India. Addressing these issues will extend the reach of these programmes, increase their sustainability and promote health-related justice to the community.
抗菌药物耐药性病例的增加引起了全球关注。造成这种情况的主要原因是人类和动物健康领域对抗生素的滥用和过度使用。在确保抗生素合理使用和在社区提供平等获取机会之间保持平衡，这是一个道德问题。抗菌药物管理计划就是针对这一全球危机而启动的。其框架包括针对医院抗生素优化的干预措施。许多国家都采取了管理干预措施，并发表了许多成功案例。然而，由于抗菌药物处方决策的复杂性以及印度等中低收入国家卫生系统的挑战，该计划的实施遇到了阻碍。解决这些问题将扩大这些计划的覆盖范围，提高其可持续性，并促进社区的健康公平。
