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Government policy interventions to reduce human antimicrobial use: A systematic review and evidence map

Van Katwyk, S. R.; Grimshaw, J. M.; et al (2019) C2

BACKGROUND: Growing political attention to antimicrobial resistance (AMR) offers a rare opportunity for achieving meaningful action. Many governments have developed national AMR action plans, but most have not yet implemented policy interventions to reduce antimicrobial overuse. A systematic evidenc...e map can support governments in making evidence-informed decisions about implementing programs to reduce AMR, by identifying, describing, and assessing the full range of evaluated government policy options to reduce antimicrobial use in humans. METHODS AND FINDINGS: Seven databases were searched from inception to January 28, 2019, (MEDLINE, CINAHL, EMBASE, PAIS Index, Cochrane Central Register of Controlled Trials, Web of Science, and PubMed). We identified studies that (1) clearly described a government policy intervention aimed at reducing human antimicrobial use, and (2) applied a quantitative design to measure the impact. We found 69 unique evaluations of government policy interventions carried out across 4 of the 6 WHO regions. These evaluations included randomized controlled trials (n = 4), non-randomized controlled trials (n = 3), controlled before-and-after designs (n = 7), interrupted time series designs (n = 25), uncontrolled before-and-after designs (n = 18), descriptive designs (n = 10), and cohort designs (n = 2). From these we identified 17 unique policy options for governments to reduce the human use of antimicrobials. Many studies evaluated public awareness campaigns (n = 17) and antimicrobial guidelines (n = 13); however, others offered different policy options such as professional regulation, restricted reimbursement, pay for performance, and prescription requirements. Identifying these policies can inform the development of future policies and evaluations in different contexts and health systems. Limitations of our study include the possible omission of unpublished initiatives, and that policies not evaluated with respect to antimicrobial use have not been captured in this review. CONCLUSIONS: To our knowledge this is the first study to provide policy makers with synthesized evidence on specific government policy interventions addressing AMR. In the future, governments should ensure that AMR policy interventions are evaluated using rigorous study designs and that study results are published. more

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Pruebas diagnósticas para el SARS-CoV-2: orientaciones provisionales, 11 de septiembre de 2020

World Health Organization WHO (2020) C_WHO

Available in Arabic, Chinese, English, French, Portuguese, Russian and Spanish https://apps.who.int/iris/handle/10665/334254

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Management of Gambling Disorders

Ministry of Health, Singapore (2011) CC

MOH clinical practice guidelines

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Drugs to prevent COVID-19: living guideline

World Health Organisation (WHO) (2023) C_WHO

The WHO Living guideline: Drugs to prevent COVID-19 contains the Organization’s most up-to-date recommendations for the use of drugs to prevent COVID-19. The latest version of this living guideline is available in pdf format (via the ‘Download’ button) and via an online platform. Guidelines ... more

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Hypertension et COVID-19

World Health Organization WHO (2021) C_WHO

Note d’information scientifique, 17 juin 2021

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Eau, assainissement, hygiène et gestion des déchets en rapport avec le virus responsable de la COVID-19
recommended

Organisation Mondiale de la Santé OMS (2020) C_WHO

orientations provisoires, 23 avril 2020

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Atendimento domiciliar para pacientes com COVID-19 que apresentam sintomas leves e manejo de seus contatos

Pan American Health Organization (PAHO), OPS (2020) C_WHO

Orientação provisória 17 de março de 2020 Esta orientação rápida destina-se a profissionais de saúde pública e de prevenção e controle de infecção (PCI), gestores e profissionais de saúde, ao abordar questões relacionadas ao atendimento domiciliar de pacientes com suspeita de infecç... more

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Risk Factors of Stroke in Western and Asian Countries: A Systematic Review and Meta-analysis of Prospective Cohort Studies

X. Chen; L. Zhou; Y. Zhang; et al. BioMed Central (2014) CC

Chen et al. BMC Public Health 2014, 14:776 http://www.biomedcentral.com/1471-2458/14/776

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Клиническое ведение случаев COVID-19. Вариативные рекомендации25 января 2021 г.
recommended

World Health Organization WHO WHO (2021) C_WHO

Настоящее руководство «Клиническое ведение случаев COVID-19» базируется на вышеуказанных стратегических приоритетах и адресовано клиницистам, участвующим в оказа�... more

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Hipertensão e COVID-19: Informe científico - 17 de junho de 2021

Organização Mundial da Saúde (OMS) OPAS (2021) C_WHO

Hypertension and COVID-19: Scientific report - 17 June 2021

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Climate change and health: vulnerability and adaptation assessment (Update)

World Health Organization WHO; PAHO; et al. (2021) C_WHO

In 2013 the World Health Organization (WHO) published the report Protecting health from climate change:vulnerability and adaptation assessment. The aim was to provide basic and flexible guidance on conducting national or subnational assessments of current and future vulnerability (the susceptibilit... more

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Global report on children with developmental disabilities

World Health Organisation (WHO) (2023) C_WHO

Developmental disabilities are common. Yet, children with developmental disabilities have been neglected in health systems planning and policy provisions for health and continue to experience stigmatization, institutionalization, barriers to access health care and inequalities in health and educatio... more

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Agua, saneamiento, higiene y gestión de desechos en relación con el virus de la COVID-19

Organización Mundial de la Salud OMS (2020) CC

orientaciones provisionales, 23 de abril de 2020

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Task-sharing interventions for improving control of diabetes in low-income and middle-income countries: a systematic review and meta-analysis

Linju Maria, J.; et al. (2020) CC

Lancet Glob Health 2020Published OnlineNovember 27, 2020 https://doi.org/10.1016/S2214-109X(20)30449-6

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COVID-19 vaccine hesitancy worldwide: a systematic review of vaccine acceptance rates

Sallam, M. (2021) CC

Vaccines 2021, 9(2), 160; https://doi.org/10.3390/vaccines9020160

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Soins à domicile pour les patients COVID-19 qui présentent des symptômes bénins, et prise en charge de leurs contacts

Organisation Mondiale de la Santé OMS (2020) C_WHO

Lignes directrices provisoires, 13 août 2020 L’OMS a établi cette brève note d’information pour répondre au besoin de recommandations sur la prestation sûre de soins à domicile aux patients présumés atteints de l’infection par le nouveau coronavirus (2019-nCoV) présentant des symptô... more

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Integrated operational framework for mental health, brain health and substance use

World Health Organisation (WHO) (2024) C_WHO

This integrated operational framework provides an overview of the connections between mental health, neurological and substance use (MNS) conditions, and their links to health, well-being and the broader public health and sustainable development agenda. The need for integrated approaches is increasi... more

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Infection prevention and control during health care when coronavirus disease (COVID-19) is suspected or confirmed
recommended

World Health Organization (WHO) (2021) C_WHO

Annex. This document is an update of a guidance published on 12 July 2021, after the review of new scientific evidence on transmission of SARS-CoV-2 variants of concern (VOC). It contains updated recommendations on the use of masks and respirators for health workers providing care to suspected or c... more

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SARS-CoV-2 Steckbrief zur Coronavirus-Krankheit-2019 (COVID-19)

Robert-Koch-Institut RKI (2020) C1

Stand 2.10.2020

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How Covid-19 is changing the world: a statistical perspective

UN DESA (2020) CC

COVID-19 has turned the world upside down. Everything has been impacted. How we live and interact with each other, how we work and communicate, how we move around and travel. Every aspect of our lives has been affected.

Eau, assainissement, hygiène et gestion des déchets en rapport avec le virus responsable de la COVID-19 recommended

Клиническое ведение случаев COVID-19. Вариативные рекомендации25 января 2021 г. recommended

Infection prevention and control during health care when coronavirus disease (COVID-19) is suspected or confirmed recommended

Eau, assainissement, hygiène et gestion des déchets en rapport avec le virus responsable de la COVID-19
recommended

Клиническое ведение случаев COVID-19. Вариативные рекомендации25 января 2021 г.
recommended

Infection prevention and control during health care when coronavirus disease (COVID-19) is suspected or confirmed
recommended