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The U.S. Government Antimicrobial Resistance (AMR) Challenge, initiated in 2018, is a global effort that calls upon pharmaceutical and health insurance companies, food animal producers and purchasers, medical professionals, government health officials, and industry leaders worldwide to collaborate in combating antibiotic resistance.
Effective January 1, 2020, the Joint Commission antimicrobial stewardship requirements were expanded to outpatient health care organizations as well. [21] In 2018, a survey of AMS programs in the US showed each 0.50 increase in pharmacist and physician full-time equivalent support predicted a roughly 1.5-fold increase in the programs effectiveness.
There was a marked rise in the consumption of antibiotics in the Watch category, while usage of certain antibiotics remained consistently high. These findings emphasized the imperative for vigilant antimicrobial stewardship to address evolving prescribing trends and combat resistance, thereby safeguarding patient health. [7]
IDSA also promotes the establishment of antimicrobial stewardship programs and integration of good stewardship practices in every health care facility across the United States and is working to eliminate inappropriate uses of antibiotics in food, animals and other aspects of agriculture. [15]
In 1996, the National Antimicrobial Resistance Monitoring System (NARMS) was established. [2] Starting in 2010, publications regarding antimicrobial drugs in food became an annual report. Starting in 2012, there was publicly solicited input on how data is to be collected and reported for matters relating to the use of antimicrobials for food ...
The goals of antimicrobial stewardship are to help practitioners pick the right drug at the right dose and duration of therapy while preventing misuse and minimizing the development of resistance. Stewardship interventions may reduce the length of stay by an average of slightly over 1 day while not increasing the risk of death. [103]
A subsidiary aspect of infection control involves preventing the spread of antimicrobial-resistant organisms such as MRSA. This in turn connects to the discipline of antimicrobial stewardship —limiting the use of antimicrobials to necessary cases, as increased usage inevitably results in the selection and dissemination of resistant organisms.
Current BSAC activities include: Publishes the Journal of Antimicrobial Chemotherapy [5] and its sister publication, JAC-AMR. [6]Provides accreditation to hospitals as part of its Global Antimicrobial Stewardship Scheme (GAMSAS), [7] a programme of work that was used as a case study in the Government of the United Kingdom's National Action Plan on antimicrobial resistance, ‘Confronting ...