How do we overcome the problem of AMR at the hospital level?
Important steps to be taken at hospital level to contain AMR are:
- Establish an infection prevention and control committee (IPC).
- Whenever available, use rapid point-of-care diagnostics to support clinical decisions and further develop where inadequacies persist.
- Promote rational antimicrobial use.
- Develop standardised antibiotic surveillance systems for antibiotic resistance and antibiotic use.
- Purchase food raised without routine antimicrobials
- Improve sanitation in hospitals to prevent healthcare associated infections
- Improve waste management to efficiently remove pharmaceuticals and microbes
- Hand hygiene with soap or alcohol-based rub are key to protect patients from avoidable infections contracted in health-care settings and prevent the spread of AMR (WHO, 2017)
- Include environmental criteria in antimicrobial drugs’ procurement decisions to improve transparency along the supply chain.
- Report AMR cases and resistance patterns to the regional and international levels, such as through the EARS-Net EU reporting network