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Reducing antibiotic prescribing and addressing the global problem of antibiotic resistance by targeted hygiene in the home and everyday life settings: A position paper - 26/08/20

Doi : 10.1016/j.ajic.2020.04.011 
Jean-Yves Maillard, BSc, PhD a, b, , Sally F. Bloomfield, PhD, BPharm c, Patrice Courvalin, MD d, Sabiha Y. Essack, PhD, BPharm, MPharm e, Sumanth Gandra, MD, MPH f, Charles P. Gerba, PhD g, Joseph R. Rubino, BA, MA h, Elizabeth A. Scott, PhD, MPhil i
a Cardiff School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, UK 
b International Scientific Forum on Home Hygiene, Somerset, UK 
c London School of Hygiene and Tropical Medicine, London, UK 
d Department of Microbiology, Institut Pasteur, Paris, France 
e Antimicrobial Research Unit, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa 
f Division of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA 
g Departments of Soil, Water and Environmental Science and Environmental Health, University of Arizona, Tucson, AZ, USA 
h Research & Development, Home Hygiene, Lysol/Harpic, Reckitt Benckiser LLC., One Philips Parkway, Montvale, NJ, USA 
i College of Natural, Behavioral and Health Sciences, Simmons University, Boston, MA, USA 

Address correspondence to Jean-Yves Maillard, BSc, PhD, Cardiff School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Redwood Building, King Edward VII Ave, Cardiff, CF10 3NB UK.Cardiff School of Pharmacy and Pharmaceutical SciencesCardiff UniversityRedwood Building, King Edward VII AveCardiffCF10 3NBUK

Highlights

Global & national AMR actions focus on infection prevention in healthcare settings.
Home & everyday life settings contribute to acquiring & spreading AMR pathogens.
Targeted hygiene protects against infections, reducing antibiotic prescribing. • Targeted hygiene helps to minimize selection pressure for AMR development globally.
Reducing AMR requires greater focus on targeted hygiene in the home & community.

Le texte complet de cet article est disponible en PDF.

Résumé

Antimicrobial resistance (AMR) continues to threaten global health. Although global and national AMR action plans are in place, infection prevention and control is primarily discussed in the context of health care facilities with home and everyday life settings barely addressed. As seen with the recent global SARS-CoV-2 pandemic, everyday hygiene measures can play an important role in containing the threat from infectious microorganisms. This position paper has been developed following a meeting of global experts in London, 2019. It presents evidence that home and community settings are important for infection transmission and also the acquisition and spread of AMR. It also demonstrates that the targeted hygiene approach offers a framework for maximizing protection against colonization and infections, thereby reducing antibiotic prescribing and minimizing selection pressure for the development of antibiotic resistance. If combined with the provision of clean water and sanitation, targeted hygiene can reduce the circulation of resistant bacteria in homes and communities, regardless of a country's Human Development Index (overall social and economic development). Achieving a reduction of AMR strains in health care settings requires a mirrored reduction in the community. The authors call upon national and international policy makers, health agencies, and health care professionals to further recognize the importance of targeted hygiene in the home and everyday life settings for preventing and controlling infection, in a unified quest to tackle AMR.

Le texte complet de cet article est disponible en PDF.

Key Words : Targeted hygiene, COVID-19, Antimicrobial resistance, Global health


Plan


 Conflicts of interest: Professor Jean-Yves Maillard is the Director for Biocide Consult Ltd.
Professor Essack is Chairperson of the Global Respiratory Infection Partnership, sponsored by an unrestricted educational grant from Reckitt and Benckiser, UK.
Professor Charles P. has received payments from the following companies for consultancy, advisory boards and grants: Allied Biosciences, Clorox, Ecolab, Georgia Pacific, GOJO Industries, Guest Services, Kimberly Clark, Kohler, Proctor and Gamble, Purethread, Reckitt Benckiser, and Unilever India.
Joseph R. Rubino holds the position of R&D Shared Services Director, RB Inc., Germ Protection, and Personal Care.
 Disclosures: The development of this position paper was supported by an educational grant from Reckitt Benckiser who funded the activity of the Global Hygiene Council. Medical writing support was provided by the medical communications agency, Spink, which runs the secretariat for the GHC.


© 2020  Association for Professionals in Infection Control and Epidemiology, Inc.. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 48 - N° 9

P. 1090-1099 - septembre 2020 Retour au numéro
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