AP is the first state in India to initiate a pilot project

 VIJAYAWADA, Feb 23rd (prajaamaravathi): “AP is the first state in India to initiate a pilot project on assessment and training on Infection Prevention and Control (IPC) practices in association with centres for United Nations disease control and prevention (US-CDC), NCDC and Share India. 540 clinicians, OT technicians and nurses were trained till date from all the teaching and district hospitals. This would be extended to other hospitals across the state” sri J.Nivas IAS Commissioner of Health & Family Welfare and MD NHM said in a press statement on 22-02-2023. He eluded that this is a huge effort from AP Government for the action against Antimicrobial Resistance (AMR). He also said that Antimicrobial Resistance (AMR) is a global health threat and a priority for G20. Andhra Pradesh became 4th state in India to come up with a state action plan against AMR In Nov 2022 and a global workshop was conducted by AP government with support from consortium formed by federation of Asian bioteck association(FABA), Infection control academy of india(IFCAI). To further the cause, a “State Level Workshop on AMR Surveillance and Antimicrobial Stewardship” was organized by AP Government along with the support of national centre for disease control(NCDC) and WHO in Fortune Murali Park Hotel, Vijayawada on 21st and 22nd Feb 2023. The participants of the course were microbiologists and clinicians/surgeons who came from Govt medical colleges across the state. The main aim of this workshop is to sensitize the participants on appropriate sample collection, isolates are identified, correct diagnosis is made and specific antibiotics can be administered. Commissioner of Health and Welfare, Sri J.Nivas started the event on 21st Feb by thanking the NCDC, CDC and WHO for their continues support in AP Government efforts for containment of AMR and gave 3 objectives for the participants which are 

Learning and mastering the WHONET software for analyzing the antibiotic resistance data which would help making the institutional antibiograms,         

Making a comprehensive list of needed equipment and reagents so that State can support and strengthen the lab and 

Finally involve and train the private medical colleges also in WHONET. 

Dr. Lata Kapoor from NCDC suggested the we must strengthen the laboratories for better microbiological services, have functioning hospital infection control committee along with starting antimicrobial stewardship work by the doctors will reduce the burden of AMR. Dr. Anuj Sharma from WHO applauded the AP state efforts in the implementation of state action plan for AMR. Health being State subject, the aspects like Infection prevention Control(IPC), AMR and strengthening of the laboratories should be owned by the State Government. Dr. Valan from CDC along with NCDC and WHO trained the microbiologists on how to use WHONET software for entering and analyzing the microbiological data. The physicians were sensitized on rational use of antibiotics which is the essential part of Antimicrobial stewardship, a best tool for containing AMR. Dr. B.Murali Krishna Pediatric Nephrologist, Dr. M. Mallikarjuna Reddy Professor, Head, Surgery;  Dr. Arif Pasha Shaik Prof, Head of Critical care gave their perspectives of AMR and stewardship challenges from private health sector perspective. Dr. D.Mohana Krishna, State Nodal Officer (new inciatives) urged the participants to take the mission forward. The meeting ended with making the roadmap for strengthening of the laboratories, plan for another follow up WHONET training, fortnightly meeting of the clinicians along with microbiologists and pharmacologists on 1st and 3rd week of the month in their Hospitals with the involvement of the Hospital Superintendent and RMO. Involvement of the pharmacologists and pharmacists will help in antimicrobial use and consumption. The antibiogram data from microbiologists would help   stewardship. 

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