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. 2022 Jan-Dec:13:21501319221082346.
doi: 10.1177/21501319221082346.

Antimicrobial Consumption in Latin American Countries: First Steps of a Long Road Ahead

Gustavo H Marin  1 , Lucia Giangreco  1 , Cristian Dorati  1 , Perla Mordujovich  1 , Silvia Boni  2 , Hilda Mantilla-Ponte  3 , Ma José Alfonso Arvez  4 , Mónica López Peña  5 , Ma Francisca Aldunate González  6 , Shing Mi Ching Fung  7 , Laura Barcelona  2 , Laura Campaña  2 , Alejandra Vaquero Orellana  6 , Tatiana Orjuela Rodríguez  8 , Larissa Ginés Cantero  4 , Rosa A Villar  8 , Nicole Sandoval Fuentes  6 , Emiliano Melero  2 , Hugo Marin-Piva  7 , Gisela Soler  2 , Fernanda Gabriel  2 , Laura Pineda Velandia  8 , Cinthia Ojeda Florentín  4 , Soledad Risso Patron  2 , Mariela Ortiz Rivas  4 , Carolina Mendoza Benítez  4 , Rosemarie Mellado  6 , Verica Ivanovska  9 , Arno Muller  9 , Robin Rojas  8 , José Luis Castro  8
Affiliations

Antimicrobial Consumption in Latin American Countries: First Steps of a Long Road Ahead

Gustavo H Marin et al. J Prim Care Community Health. 2022 Jan-Dec.

Abstract

Background: Irrational antimicrobial consumption (AMC) became one of the main global health problems in recent decades.

Objective: In order to understand AMC in Latin-American Region, we performed the present research in 6 countries.

Methods: Antimicrobial consumption (J01, A07A, P01AB groups) was registered in Argentina, Chile, Colombia, Costa Rica, Paraguay, and Peru. Source of information, AMC type, DDD (Defined Daily Doses), DID (DDD/1000 inhabitants/day), population were variables explored. Data was analyzed using the Global Antimicrobial Resistance and Use Surveillance System (GLASS) tool.

Results: Source of information included data from global, public, and private sectors. Total AMC was highly variable (range 1.91-36.26 DID). Penicillin was the most consumed group in all countries except in Paraguay, while macrolides and lincosamides were ranked second. In terms of type of AMC according to the WHO-AWaRe classification, it was found that for certain groups like "Reserve," there are similarities among all countries.

Conclusion and relevance: This paper shows the progress that 6 Latin-American countries made toward AMC surveillance. The study provides a standardized approach for building a national surveillance system for AMC data analysis. These steps will contribute to the inclusion of Latin-America among the regions of the world that have periodic, regular, and quality data of AMC.

Keywords: GLASS; Latin America; antimicrobial; consumption; data source; information.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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