Articulo
Antimicrobial Consumption in Latin American Countries: First Steps of a Long Road Ahead
Autor
Marín, Gustavo Horacio
Giangreco, Lucía
Dorati, Cristian Matías
Mordujovich de Buschiazzo, Perla
Boni, Silvia
Mantilla Ponte, Hilda
Alfonso Arvez, María José
López Peña, Mónica
Aldunate González, María Francisca
Ching Fung, Shing Mi
Barcelona, Laura
Campaña, Laura
Vaquero Orellana, Alejandra
Orjuela Rodríguez, Tatiana
Ginés Cantero, Larissa
Villar, Rosa A.
Sandoval Fuentes, Nicole
Melero, Emiliano
Marin Piva, Hugo
Soler, Gisela
Gabriel, Fernanda
Pineda Velandia, Laura
Ojeda Florentín, Cinthia
Risso Patron, Soledad
Ortiz Rivas, Mariela
Mendoza Benítez, Carolina
Mellado, Rosemarie
Ivanovska, Verica
Muller, Arno
Rojas, Robin
Castro, José Luis
Institución
Resumen
Background: Irrational antimicrobial consumption (AMC) became one of the main global health problems in recent decades. Objective: In order to understand AMC in Latin-American Region, we performed the present research in 6 countries. Methods: Antimicrobial consumption (J01, A07A, P01AB groups) was registered in Argentina, Chile, Colombia, Costa Rica, Paraguay, and Peru. Source of information, AMC type, DDD (Defined Daily Doses), DID (DDD/1000 inhabitants/day), population were variables explored. Data was analyzed using the Global Antimicrobial Resistance and Use Surveillance System (GLASS) tool. Results: Source of information included data from global, public, and private sectors. Total AMC was highly variable (range 1.91-36.26 DID). Penicillin was the most consumed group in all countries except in Paraguay, while macrolides and lincosamides were ranked second. In terms of type of AMC according to the WHO-AWaRe classification, it was found that for certain groups like “Reserve,” there are similarities among all countries. Conclusion and Relevance: This paper shows the progress that 6 Latin-American countries made toward AMC surveillance. The study provides a standardized approach for building a national surveillance system for AMC data analysis. These steps will contribute to the inclusion of Latin-America among the regions of the world that have periodic, regular, and quality data of AMC. Facultad de Ciencias Médicas