The Indian Council of Medical Research (ICMR) has released Antimicrobial Stewardship Guidelines documents for hospital administrators and clinicians, recently.
The guideline is intended to provide directions to Indian hospitals to set up structure and processes of antimicrobial stewardship programmes (AMSP).
There is an urgent need to improve antibiotic use in hospitals, which can be achieved through implementation of good AMS programmes. AMS programmes have been found helpful in improving the quality of patient care and safety through increasing the frequency of correct therapy and prophylaxis, reducing treatment failures and increased infection cure rates, according to an ICMR statement.
Implementation of an effective AMSP requires a multidisciplinary approach involving a variety of experts. Most of the hospitals in India lack structure and process of AMSP.
Recognizing the importance to create AMSP structures in healthcare institutions in the country, ICMR has initiated AMSP activities by developing AMSP curriculum, conducting workshops and developing AMSP research projects.
The ‘National Health Policy’ (2017), addresses antimicrobial resistance as one of the key issues and prioritises development of guidelines regarding antibiotic use, limiting the over-the-counter use of antibiotics, restricting the use of antibiotics as growth promoters in livestock, and pharmaco-vigilance including prescription audit inclusive of antibiotic usage in the hospital and community.