Global Antimicrobial Stewardship with a Focus on Low- and Middle-Income Countries

Int J Infect Dis. 2020 Jul:96:621-629. doi: 10.1016/j.ijid.2020.05.126. Epub 2020 Jun 4.

Abstract

Antimicrobial resistance is a global public health crisis. Antimicrobial Stewardship involves adopting systematic measures to optimize antimicrobial use, decrease unnecessary antimicrobial exposure and to decrease the emergence and spread of resistance. Low- and middle-income countries (LMICs) face a disproportionate burden of antimicrobial resistance and also face challenges related to resource availability. Although challenges exist, the World Health Organization has created a practical toolkit for developing Antimicrobial Stewardship Programs (ASPs) that will be summarized in this article.

Keywords: Antimicrobial stewardship; antimicrobial resistance; low- and middle-income countries.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / economics
  • Anti-Bacterial Agents / therapeutic use*
  • Antimicrobial Stewardship / economics*
  • Bacterial Infections / drug therapy*
  • Bacterial Infections / economics
  • Bacterial Infections / microbiology
  • Developing Countries / economics
  • Humans
  • Poverty
  • World Health Organization

Substances

  • Anti-Bacterial Agents