Antimicrobial Resistance and Stewardship in National Action Plans

Abstract

Tackling Antimicrobial resistance has global focus due to the significant threat resistance poses to human and animal health and its potential impact on the global economy as a result of reduced productivity caused by sickness and higher treatment costs. Therefore, the importance of strengthening health systems ensuring antimicrobial agents are used and accessed appropriately has never been more important. A potential solution to combating antimicrobial resistance globally is implementing comprehensive and sustainably resourced national plans based on a multi-sector approach. In May 2014, the World Health Organisation passed a resolution that reflects global agreement on the huge threat antimicrobial resistance poses to human health; this was followed by publication of a draft global action plan on which all national action plans being developed are expected to be based. The global action plan seeks to preserve and maintain the responsible and accessible use of antimicrobials for all. The main strategic objectives focus on improving the understanding and awareness of antimicrobial resistance, strengthening knowledge via research and surveillance, reducing infection incidence, optimising the use of antimicrobial treatments and countering antimicrobial resistance through sustainable investment. This paper seeks to explore the global adoption and implementation of national action plans and specifically the use of antimicrobial stewardship (AMS) strategies to promote the optimal use of antimicrobials.