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

Autor:	Marin GH; CUFAR-University Centre of Pharmacology, UNLP; WHO-PAHO Col., La Plata, Argentina., Giangreco L; CUFAR-University Centre of Pharmacology, UNLP; WHO-PAHO Col., La Plata, Argentina., Dorati C; CUFAR-University Centre of Pharmacology, UNLP; WHO-PAHO Col., La Plata, Argentina., Mordujovich P; CUFAR-University Centre of Pharmacology, UNLP; WHO-PAHO Col., La Plata, Argentina., Boni S; ANMAT & Ministry of Health, Buenos Aires, Argentina., Mantilla-Ponte H; Ministry of Health, Lima, Peru., Alfonso Arvez MJ; National Pharmacovigilance Dep-Ministry of Health, Asuncion, Gran Asunción, Paraguay., López Peña M; Ministry of Health, Bogota, Colombia., Aldunate González MF; Ministry of Health & Pontificia Catholic University, Chile., Ching Fung SM; Costa Rican Social Security System, Costa Rica., Barcelona L; ANMAT & Ministry of Health, Buenos Aires, Argentina., Campaña L; ANMAT & Ministry of Health, Buenos Aires, Argentina., Vaquero Orellana A; Ministry of Health & Pontificia Catholic University, Chile., Orjuela Rodríguez T; Pan-American Health Organization (PAHO), Washington, DC, USA., Ginés Cantero L; National Pharmacovigilance Dep-Ministry of Health, Asuncion, Gran Asunción, Paraguay., Villar RA; Pan-American Health Organization (PAHO), Washington, DC, USA., Sandoval Fuentes N; Ministry of Health & Pontificia Catholic University, Chile., Melero E; ANMAT & Ministry of Health, Buenos Aires, Argentina., Marin-Piva H; Costa Rican Social Security System, Costa Rica., Soler G; ANMAT & Ministry of Health, Buenos Aires, Argentina., Gabriel F; ANMAT & Ministry of Health, Buenos Aires, Argentina., Pineda Velandia L; Pan-American Health Organization (PAHO), Washington, DC, USA., Ojeda Florentín C; National Pharmacovigilance Dep-Ministry of Health, Asuncion, Gran Asunción, Paraguay., Risso Patron S; ANMAT & Ministry of Health, Buenos Aires, Argentina., Ortiz Rivas M; National Pharmacovigilance Dep-Ministry of Health, Asuncion, Gran Asunción, Paraguay., Mendoza Benítez C; National Pharmacovigilance Dep-Ministry of Health, Asuncion, Gran Asunción, Paraguay., Mellado R; Ministry of Health & Pontificia Catholic University, Chile., Ivanovska V; World Health Organization, Geneva, Switzerland., Muller A; World Health Organization, Geneva, Switzerland., Rojas R; Pan-American Health Organization (PAHO), Washington, DC, USA., Castro JL; Pan-American Health Organization (PAHO), Washington, DC, USA.
Jazyk:	angličtina
Zdroj:	Journal of primary care & community health [J Prim Care Community Health] 2022 Jan-Dec; Vol. 13, pp. 21501319221082346.
DOI:	10.1177/21501319221082346
Abstrakt:	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.
Databáze:	MEDLINE
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