The antimicrobial resistance containment and surveillance approach - a public health tool

Antimicrobial drug resistance (AMR) is widely recognized as a global public health threat because it endangers the effectiveness of treatment of infectious diseases. In 2001 WHO issued the Global Strategy for Containment of Antimicrobial Resistance, but it has proved difficult to translate the recom...

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Main Authors: Gunnar S. Simonsen, John W. Tapsall, Benedetta Allegranzi, Elizabeth A. Talbot, Stefano Lazzari
Format: Article
Language:English
Published: The World Health Organization 2004-12-01
Series:Bulletin of the World Health Organization
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862004001200009&lng=en&tlng=en
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author Gunnar S. Simonsen
John W. Tapsall
Benedetta Allegranzi
Elizabeth A. Talbot
Stefano Lazzari
author_facet Gunnar S. Simonsen
John W. Tapsall
Benedetta Allegranzi
Elizabeth A. Talbot
Stefano Lazzari
author_sort Gunnar S. Simonsen
collection DOAJ
description Antimicrobial drug resistance (AMR) is widely recognized as a global public health threat because it endangers the effectiveness of treatment of infectious diseases. In 2001 WHO issued the Global Strategy for Containment of Antimicrobial Resistance, but it has proved difficult to translate the recommendations of the Global Strategy into effective public health actions. The purpose of the Antimicrobial Resistance Containment and Surveillance (ARCS) approach is to facilitate the formulation of public health programmes and the mobilization of human and financial resources for the containment of AMR. The ARCS approach highlights the fundamental link between rational drug use and containment of AMR. Clinical management of human and animal infections should be improved through better disease control and prevention, high quality diagnostic testing, appropriate treatment regimens and consumer health education. At the same time, systems for supplying antimicrobial drugs should include appropriate regulations, lists of essential drugs, and functional mechanisms for the approval and delivery of drugs. Containment of AMR is defined in the ARCS approach as the continuous application of this package of core interventions. Surveillance of the extent and trends of antimicrobial resistance as well as the supply, selection and use of antimicrobial drugs should be established to monitor the process and outcome of containment of AMR. The ARCS approach is represented in the ARCS diagram (<A HREF="/img/revistas/bwho/v82n12/fig_2_9100.gif">Fig. 2</A>) which provides a simplified, but comprehensive illustration of the complex problem of containment and monitoring of AMR.
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spelling doaj.art-cd31d9b79aca4748b5ac41df005217302024-03-02T04:49:19ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862004-12-018212928934S0042-96862004001200009The antimicrobial resistance containment and surveillance approach - a public health toolGunnar S. Simonsen0John W. Tapsall1Benedetta Allegranzi2Elizabeth A. Talbot3Stefano Lazzari4University Hospital of North NorwayThe Prince of Wales HospitalUniversity of VeronaCenters for Disease Control and PreventionCSRAntimicrobial drug resistance (AMR) is widely recognized as a global public health threat because it endangers the effectiveness of treatment of infectious diseases. In 2001 WHO issued the Global Strategy for Containment of Antimicrobial Resistance, but it has proved difficult to translate the recommendations of the Global Strategy into effective public health actions. The purpose of the Antimicrobial Resistance Containment and Surveillance (ARCS) approach is to facilitate the formulation of public health programmes and the mobilization of human and financial resources for the containment of AMR. The ARCS approach highlights the fundamental link between rational drug use and containment of AMR. Clinical management of human and animal infections should be improved through better disease control and prevention, high quality diagnostic testing, appropriate treatment regimens and consumer health education. At the same time, systems for supplying antimicrobial drugs should include appropriate regulations, lists of essential drugs, and functional mechanisms for the approval and delivery of drugs. Containment of AMR is defined in the ARCS approach as the continuous application of this package of core interventions. Surveillance of the extent and trends of antimicrobial resistance as well as the supply, selection and use of antimicrobial drugs should be established to monitor the process and outcome of containment of AMR. The ARCS approach is represented in the ARCS diagram (<A HREF="/img/revistas/bwho/v82n12/fig_2_9100.gif">Fig. 2</A>) which provides a simplified, but comprehensive illustration of the complex problem of containment and monitoring of AMR.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862004001200009&lng=en&tlng=enResistencia a las drogasResistencia microbiana a las drogasAgentes antiinfecciososAgentes antiinfecciososPrescripción de medicamentosCooperación del pacienteLegislación de medicamentosEnfermedades transmisiblesPautas prácticas
spellingShingle Gunnar S. Simonsen
John W. Tapsall
Benedetta Allegranzi
Elizabeth A. Talbot
Stefano Lazzari
The antimicrobial resistance containment and surveillance approach - a public health tool
Bulletin of the World Health Organization
Resistencia a las drogas
Resistencia microbiana a las drogas
Agentes antiinfecciosos
Agentes antiinfecciosos
Prescripción de medicamentos
Cooperación del paciente
Legislación de medicamentos
Enfermedades transmisibles
Pautas prácticas
title The antimicrobial resistance containment and surveillance approach - a public health tool
title_full The antimicrobial resistance containment and surveillance approach - a public health tool
title_fullStr The antimicrobial resistance containment and surveillance approach - a public health tool
title_full_unstemmed The antimicrobial resistance containment and surveillance approach - a public health tool
title_short The antimicrobial resistance containment and surveillance approach - a public health tool
title_sort antimicrobial resistance containment and surveillance approach a public health tool
topic Resistencia a las drogas
Resistencia microbiana a las drogas
Agentes antiinfecciosos
Agentes antiinfecciosos
Prescripción de medicamentos
Cooperación del paciente
Legislación de medicamentos
Enfermedades transmisibles
Pautas prácticas
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862004001200009&lng=en&tlng=en
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