Progress on the national action plan of Pakistan on antimicrobial resistance (AMR): a narrative review and the implications
| Autor: | Muhammad Umer Nadeem, Iris Hoxha, Brian Godman, Muhammad Usman Qamar, Muhammad Salman, Afreenish Amir, Sylvia Opanga, Aamer Ikram, Vanda Marković-Peković, Ayaz Ali Khan, Abdul Haseeb, Amna Saeed, Manal Al-Gethamy, Zikria Saleem, Muhammad Azmi Hassali, Aubrey Chichonyi Kalungia, Inaam Ur Rehman, Joseph O Fadare, Faiza Azhar |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Microbiology (medical) medicine.medical_specialty 030106 microbiology Psychological intervention Microbiology RS Antimicrobial Stewardship 03 medical and health sciences 0302 clinical medicine Antibiotic resistance Anti-Infective Agents Virology Drug Resistance Bacterial Health care medicine Humans Infection control Antimicrobial stewardship Pakistan 030212 general & internal medicine business.industry Public health Public relations Anti-Bacterial Agents Infectious Diseases Scale (social sciences) Action plan business |
| Zdroj: | Expert Review of Anti-infective Therapy. 20:71-93 |
| ISSN: | 1744-8336 1478-7210 |
| Popis: | Introduction: The emergence and spread of antimicrobial resistance (AMR) is a threat to public health. In 2015, the World Health Organization (WHO) introduced a global action plan to tackle AMR in World Health Assembly. Pakistan’s national action plan (NAP) for AMR was released in May 2017 by the Ministry of National Health Services. Based on the NAP, strategies have been initiated on a national and provincial scale in Pakistan. Methodology: A narrative review of the five components of the Pakistan NAP has been taken based on the publications known to the co-authors. The suggestions have been made on the basis of that to reduce the burden of the AMR. Areas Covered: This review discusses some of the challenges in implementation of the NAP for AMR including different opinions and views of key stakeholders, concerns with lack of diagnostic facilities and financial resources and continued wide and suboptimal use of antimicrobials in human and animal health as well as food production. Expert Opinion: Going forward, healthcare authorities should focus on screening and monitoring of all the objectives of the NAP by establishing proper policies as well as promoting antimicrobial stewardship interventions and Infection prevention and control (IPC) practices. Overall, the comprehensive strengthening of the healthcare system is required to adequately implement the NAP, tackle continued inappropriate antimicrobial use and high AMR rates in Pakistan. |
| Databáze: | OpenAIRE |
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