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Global Antimicrobial Stewardship with a Focus on Low- and Middle-Income Countries: A position statement for the international society for infectious diseases
Open accessAbstract
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.
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“Lack of personnel has also been identified as a barrier to antimicrobial stewardship programs.202”
From Antimicrobial Resistance Rates and Surveillance in Sub-Saharan Africa: Where Are We Now? (2022) · cites this paper as [202]
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Metadata
- Authors
- Pierce, J., Apisarnthanarak, A., Schellack, N., Cornistein, W., Maani, A. A., Adnan, S., & Stevens, M. P.
- Affiliations
- Virginia Commonwealth University (US)
- Thammasat University Hospital (TH)
- Sefako Makgatho Health Sciences University (ZA)
- Hospital Universitario Austral (AR)
- Hospital Sungai Buloh (MY)
- Corresponding author
- Pierce, Jacob
- Venue
- International Journal of Infectious Diseases
- Publisher
- Elsevier BV
- Published
- 2020-07
- Volume
- 96
- Pages
- 621-629
- ISSN
- 1201-9712 (ISSN-L)
- PMC
- PMC7271868
- OpenAlex
- W3033738020
- Cited by
- 154
- References
- 50
- Citations by year
- 2026: 17 · 2025: 32 · 2024: 28 · 2023: 28 · 2022: 22 · 2021: 25 · 2020: 2
- FWCI
- 2.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Infectious Diseases (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
- Health Sciences › Medicine › Microbiology (medical) › Antibiotic Resistance in Bacteria
- Health Sciences › Medicine › Surgery › Surgical site infection prevention
- Keywords
- antimicrobial stewardship, antimicrobial resistance, low- and middle-income countries, antimicrobial stewardship programs, resource-limited settings, antibiotic use optimization, global public health
- MeSH terms
- Antimicrobial Stewardship, Anti-Bacterial Agents, Bacterial Infections, Developing Countries, Humans, Poverty, World Health Organization
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