• Lancet · Jan 2016

    Review

    Maximising access to achieve appropriate human antimicrobial use in low-income and middle-income countries.

    • Marc Mendelson, John-Arne Røttingen, Unni Gopinathan, Davidson H Hamer, Heiman Wertheim, Buddha Basnyat, Christopher Butler, Göran Tomson, and Manica Balasegaram.
    • Division of Infectious Diseases and HIV Medicine, Department of Medicine, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa. Electronic address: marc.mendelson@uct.ac.za.
    • Lancet. 2016 Jan 9; 387 (10014): 188198188-98.

    AbstractAccess to quality-assured antimicrobials is regarded as part of the human right to health, yet universal access is often undermined in low-income and middle-income countries. Lack of access to the instruments necessary to make the correct diagnosis and prescribe antimicrobials appropriately, in addition to weak health systems, heightens the challenge faced by prescribers. Evidence-based interventions in community and health-care settings can increase access to appropriately prescribed antimicrobials. The key global enablers of sustainable financing, governance, and leadership will be necessary to achieve access while preventing excess antimicrobial use.Copyright © 2016 Elsevier Ltd. All rights reserved.

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