Antimicrobial Consumption in Latin American Countries: First Steps of a Long Road Ahead
Author(s)
Lucía Giangreco
Cristian Dorati
Perla M. de Buschiazzo
Silvia Boni
Hilda Mantilla-Ponte
Ma. José Alfonso Arvez
Mónica López‐Peña
Ma. Francisca Aldunate González
Shing Mi Ching Fung
Laura Barcelona
Laura Campaña
Alejandra Vaquero Orellana
Tatiana Orjuela Rodríguez
Larissa Ginés Cantero
Rosa A. Villar
Nicole Sandoval Fuentes
Emiliano Melero
Hugo Marín-Piva
Gisela Soler
Fernanda Gabriel
Laura Pineda Velandia
Cinthia Ojeda Florentín
Soledad Risso Patron
Mariela Ortiz Rivas
Carolina Mendoza Benítez
Rosemarie Mellado
Verica Ivanovska
Arno Müller
R Monge Rojas
José L. Castro
Date Issued
1 de enero de 2022
Type
Article
Volume
13
Start Page
21501319221082346
End Page
21501319221082346
Abstract
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.
Subjects