Antimicrobial Consumption in Latin American Countries: First Steps of a Long Road Ahead

J Prim Care Community Health. 2022 Jan-Dec:13:21501319221082346. doi: 10.1177/21501319221082346.

Abstract

Background: Irrational antimicrobial consumption (AMC) became one of the main global health problems in recent decades.

Objective: In order to understand AMC in Latin-American Region, we performed the present research in 6 countries.

Methods: Antimicrobial consumption (J01, A07A, P01AB groups) was registered in Argentina, Chile, Colombia, Costa Rica, Paraguay, and Peru. Source of information, AMC type, DDD (Defined Daily Doses), DID (DDD/1000 inhabitants/day), population were variables explored. Data was analyzed using the Global Antimicrobial Resistance and Use Surveillance System (GLASS) tool.

Results: Source of information included data from global, public, and private sectors. Total AMC was highly variable (range 1.91-36.26 DID). Penicillin was the most consumed group in all countries except in Paraguay, while macrolides and lincosamides were ranked second. In terms of type of AMC according to the WHO-AWaRe classification, it was found that for certain groups like "Reserve," there are similarities among all countries.

Conclusion and relevance: This paper shows the progress that 6 Latin-American countries made toward AMC surveillance. The study provides a standardized approach for building a national surveillance system for AMC data analysis. These steps will contribute to the inclusion of Latin-America among the regions of the world that have periodic, regular, and quality data of AMC.

Keywords: GLASS; Latin America; antimicrobial; consumption; data source; information.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anti-Bacterial Agents* / therapeutic use
  • Argentina
  • Chile
  • Colombia
  • Humans
  • Latin America / epidemiology

Substances

  • Anti-Bacterial Agents