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Review
. 2020 Jul:96:621-629.
doi: 10.1016/j.ijid.2020.05.126. Epub 2020 Jun 4.

Global Antimicrobial Stewardship with a Focus on Low- and Middle-Income Countries

Jacob Pierce  1 , Anucha Apisarnthanarak  2 , Natalie Schellack  3 , Wanda Cornistein  4 , Amal Al Maani  5 , Syamhanin Adnan  6 , Michael P Stevens  7
Affiliations
Review

Global Antimicrobial Stewardship with a Focus on Low- and Middle-Income Countries

Jacob Pierce et al. Int J Infect Dis. 2020 Jul.

Abstract

Antimicrobial resistance is a global public health crisis. Antimicrobial Stewardship involves adopting systematic measures to optimize antimicrobial use, decrease unnecessary antimicrobial exposure and to decrease the emergence and spread of resistance. Low- and middle-income countries (LMICs) face a disproportionate burden of antimicrobial resistance and also face challenges related to resource availability. Although challenges exist, the World Health Organization has created a practical toolkit for developing Antimicrobial Stewardship Programs (ASPs) that will be summarized in this article.

Keywords: Antimicrobial stewardship; antimicrobial resistance; low- and middle-income countries.

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Figures

Fig. 1
Fig. 1
World Health Organization (WHO) Global Action Plan Objectives (Geneva: World Health Organization, 2019).
Fig. 2
Fig. 2
World Health Organization AWaRE classification of antibiotics. Figure from World Health Organization Antimicrobial Stewardship Programmes in Health-Care facilities in low- and middle-income countries⬜A WHO Practical toolkit (Geneva: World Health Organization, 2019).
Fig. 3
Fig. 3
World Health Organization SWOT analysis example. Figure from World Health Organization Antimicrobial Stewardship Programmes in Health-Care facilities in low- and middle-income countries⬜A WHO Practical toolkit (Geneva: World Health Organization, 2019).
Fig. 4
Fig. 4
Implementing an antimicrobial stewardship program.
See this image and copyright information in PMC

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