Published on February 16, 2014
The evolving threat of antimicrobial resistance Options for action Book launch March 8, 2012 Prof Didier Pittet Director, Infection Control Programme, WHO Collaborating Center for Patient Safety, University of Geneva Hospitals and Faculty of Medicine, Geneva, Switzerland External Lead, 1st Global Patient Safety Challenge & African Partnerships for Patient Safety, WHO Patient Safety
Can we reverse this trend ?
Yes we can
Percentage change in antibiotic consumption, out-patient care in 25 European countries,1997-2003 Co-ordination programs For Iceland, total data (including hospitals) are used and national campaigns Data from ESAC
Antimicrobial use in Salmon and Trout production in Norway FAO/OIE/WHO Expert consultation on antimicrobial use in aquaculture and antimicrobial resistance, 2006 60 000 600 000 50 000 500 000 400 000 30 000 300 000 20 000 200 000 10 000 100 000 0 0 1981 1984 1987 1990 1993 1996 1999 2002 Volume salmon and trout Consumption antibiotics Antibiotics (tons wfe) Volume 40 000 (kg active substance) 700 000
Conclusions • All interventions require some level of support, leadership and political commitment • Sustaining and building upon gains requires financial and human resources, as well as infrastructure capabilities • A range of interventions are needed Not all are necessary or relevant in all countries Local conditions differ widely between and within countries Country-focused situation analysis is a logical initial step towards setting up a comprehensive anti-AMR programme
Conclusions (2) • Prioritizing national strategies, measures and resources is essential • Partnerships and closer collaboration between policy makers, academia, managers and appropriate professionals and interest groups is advocated • More collaboration is needed between disciplines within sectors (ex: human and animal medicine) • In healthcare, collaboration between those involved in promoting rational use of medicines and those involved in infection prevention and control must be reinforced
Calcification Inhibitors in CKD and Dialysis Patients
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