Implementation of international strategies against antimicrobial resistance : a review of scientific literature and the case of Brazil

• Main Author: Lobosco, Hanna
• Format: Others
• Language: English
• Published: Mittuniversitetet, Institutionen för hälsovetenskap 2012
• Subjects: antimicrobial resistance; Brazil; implementation; policy; strategy; World Health Organization
• Online Access: http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-16529

Antimicrobial resistance (AMR) is a growing problem around the world. To meet the threat of a futurewithout effective treatment of infection, WHO and other authorities have published strategies and actionplans. However, it is unclear to what extent they have been implemented. As the seventh wealthiesteconomy in the world, Brazil could serve as a role model for other fast developing countries in the battleagainst AMR. The objective of this study was to investigate if and how implementation of internationalAMR strategies is addressed in literature, and to describe how such guidelines have been implemented inBrazil. The study was carried out as a literature review of scientific articles and of documents published byBrazilian authorities. In the scientific literature great importance was given to a multidisciplinary approachand to surveillance, with a special emphasis on local data. Brazilian documents showed a focus on healthcare settings and on actions concerning surveillance. Many tools were in place, such as networks and legalframework. Using local data, identifying measures most important for the target group and thenimplementing them, was considered most important. Generally, there was a lack of assessments. Brazil stillhas a long way to go, but has started out well with its focus on surveillance.