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The Core Elements of Human Antibiotic Stewardship Programs in Resource-Limited Settings: National and Hospital Levels

Centers for Disease Control and Prevention CDC, (2018)

Formularies are lists of antibiotics that are suggested for certain healthcare settings. In developing a recommended formulary, countries should consider the needs of patients and facilities where they receive care. For example, clinicians in rural or primary health centers may need wide access to first-line antibiotics (e.g., penicillin, ampicillin, TMP-SMX), but last resort antibiotics such as carbapenems or colistin might be limited to tertiary care hospitals. Efforts to create antibiotic formularies may be linked to efforts within countries to create or update essential medicine lists (EML).

Anthropological and socioeconomic factors contributing to global antimicrobial resistance: a univariate and multivariable analysis

P. Collignon, J.J.Beggs, T.R. Walsh, et al., (2018)

The Lancet Planetary Health, Volume 2, ISSUE 9, Pe398-e405, September 01, 2018. Reduction of antibiotic consumption will not be sufficient to control antimicrobial resistance because contagion—the spread of resistant strains and resistance genes—seems to be the dominant contributing factor. Improving sanitation, increasing access to clean water, and ensuring good governance, as well as increasing public health-care expenditure and better regulating the private health sector are all necessary to reduce global antimicrobial resistance.

Tackling antimicrobial resistance (AMT) together. Working Paper 1.0: Multisectoral coordination

World Health Organization WHO, (2018)

This working paper was conceived to offer practical tips and suggestions on how to establish and sustain the multisectoral coordination needed to develop and implement National Action Plans on AMR (NAPs). It is intended for anyone with responsibility for addressing AMR at country level. Drawing on both the published literature and the operational experience of four ‘focal countries’ (Ethiopia, Kenya, Philippines and Thailand), it summarizes lessons learned and the latest thinking on multisectoral working to achieve effective AMR action.

WHO Competency Framework for Health Workers’ Education and Training on Antimicrobial Resistance

World Health Organization WHO, (2018)

The framework is to be used as a reference guide, applied according to local priorities and needs, and targeted at academic institutions, educators, accreditation bodies, regulatory agencies and other users. The ultimate aim is to ensure that all health workers are equipped with the requisite competencies at pre-service education and in-service training levels to address AMR in policy and practice settings.

Antimicrobial Stewardship: Managing Antibiotic Resistance

University of Dundee, British Society of Antimicrobial Chemotherapy, Eds.: Future Learn, (2018)

Designed for healthcare professionals, this six-week course will inform you about – and empower you to provide – safe, high-quality antibiotic use. You’ll interact with colleagues globally, to understand what antibiotic resistance means – and why the World Economic Forum has placed it alongside terrorism and climate change on its global risk register. You can also join the course in Spanish, Chinese, or Russian.

Antimibrobial stewardship from pinciples to practice

British Society of Antimicrobial Chemotherapy, Eds.: Dilip Nathwani , (2018)

This book provides a perfect companion to BSAC’s FREE Massive Open Online Course on Antimicrobial Stewardship, which is available in English, Mandarin, Spanish, and Russian. Visit for details. Please download the complete e-book form the website (Large File 41 MB!)

Spectrum. Localized antimicrobial stewardship

Alberta Health Services, Canada, et al., (2018)

Spectrum is a mobile app that can be customized to deliver local antimicrobial stewardship resources in any hospital. Spectrum delivers all of your clinical pathways directly to the point of care. Each guideline is presented in an algorithmic format for ease of use and can incorporate individualized patient factors to provide tailored recommendations

Antibiotic Resistance: the Silent Tsunami. Online Course

Uppsala University, Eds.: Future Learn, (2018)

Understand antibiotic resistance and what actions are needed to address this increasingly serious global health threat

Antimicrobial Stewardship: A competency-based approach

World Health Organization WHO, (2018)

This course will equip clinicians who frequently prescribe antimicrobials with knowledge and tools to improve their use of these essential medications in daily clinical practice. Through case based examples, the course will highlight how antimicrobial stewardship principles can be applied to common clinical scenarios. We will first review foundational clinical knowledge necessary to use antimicrobials wisely. Then, we will illustrate how clinicians can incorporate this knowledge into the management of patients with common infections through adherence to the five core competencies of appropriate antimicrobial prescribing. This course will provide a framework for approaching each clinical encounter from the perspective of combating antimicrobial resistance.

Antimicrobial Resistance Benchmark

A.Massey, D. Cogan, R. Jones et al., Eds.: Access to Medicine Foundation, (2018)

First independent assessment of pharmaceutical company action on AMR. Pharmaceutical companies have a long way to go to combat antimicrobial resistance, but a new ranking aims to hold them accountable. The Benchmark found that nine of the 19 companies reporting such efforts are running or supporting 19 AMR surveillance programmes across 147 countries.

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