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Towards controlling antimicrobial use and resistance in low-income countries-an intervention study in latinamerica

Objective

Irrational use and bacterial resistance to antimicrobials are major public health problems amplified in low- income countries. The project will describe antimicrobial use and resistance in healthy children in urban and remote rural communities of Bolivia and Peru. Antimicrobial use will be analysed by means of household surveys with a triangulation of methods. Antimicrobial resistance will be analysed in commensal flora using a robust resistance screening method. Resistant bacteria will be investigated for genetic resistance mechanisms. Influencing factors including policy and non-human use will also be analysed. To improve the situation a community intervention package focusing on rational use of antimicrobials will be evaluated. It will be developed and implemented in collaboration with the local public and private health services on the basis of the generated results enforced by the national drug policy. The project will contribute to a more appropriate antimicrobial use and evidence based antimicrobial policy.

Funding Scheme

CSC - Cost-sharing contracts

Coordinator

UNIVERSITY OF FLORENCE
Address
Viale Morgagni 85
50134 Firenze
Italy

Participants (12)

ACCION INTERNACIONAL POR LA SALUD BOLIVIA
Bolivia
Address
Av. Abel Iturralde 1178 (Miraflores)
not availa La Paz
DISTRITO DE SALUD CORDILLERA
Bolivia
Address
Calle Sargento Macedo S/n
Camiri
HOSPITAL APOYO YURIMAGUAS
Peru
Address
Calle Progreso 305-307
Yurimaguas - Loreto
INSTITUTO NACIONAL DE LABORATORIOS DE SALUD
Bolivia
Address
Zubieta 1889 - Miraflores
La Paz
INSTITUTO NACIONAL DE SALUD
Peru
Address
Capac Yupanqui 1400
Lima 11
KAROLINSKA INSTITUTE
Sweden
Address
Norrbacka
171 76 Stockholm
MINISTERIO DE LA SALUD
Peru
Address
Av. M. Grau S/n
Moyobamba - San Martin
REFERENCIAL LABORATORY OF LORETO
Peru
Address
Garcia Saenz 332
Iquitos - Loreto
TEKO GUARANI
Bolivia
Address
Calle Sargento Macedo S/n
Camiri
UNIVERSIDAD PERUANA CAYETANO HEREDIA
Peru
Address
430,Avda Honorio Delgado 430-Urb. Ingeniera- Smp
31 Lima
UNIVERSIT DEGLI STUDI DI SIENA
Italy
Address
Via Bracci, 16
53100 Siena
UNIVERSITY OF FLORENCE
Italy
Address
Viale Morgagni 48
50134 Firenze