Kerala leads the way, innovates a system to combat antimicrobial resistance

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By Dileep V Kumar

Jun 02, 2024

In a groundbreaking move, Kerala has become the first state in India to roll out an AWaRe-based bacteriological culture susceptibility reporting format.

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The Government Medical College Hospital in Thiruvananthapuram (GMCH) has conceptualised and piloted this novel antimicrobial stewardship tool.

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It is learnt that health institutions within and outside the state are reaching out to the GMCH to implement this reporting format at their respective centers.

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The reporting format developed by the Department of Microbiology of the GMCH has been integrated with eHealth, a centralized Aadhar-based system.

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It replaces the traditional antibiotic categorization of first, second, and third lines with a clearer framework based on WHO AWaRe classification.

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The GMCH had published an article in the German Medical Science Infectious Diseases (GMS ID), on ‘AWaRe-based culture reporting format: a novel tool for antimicrobial stewardship.’

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In 2017, the AWaRe Classification of antibiotics was developed by the WHO Expert Committee on Selection and Use of Essential Medicines.

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AWaRe Classification is a useful tool for monitoring antibiotic consumption, defining targets, and monitoring the effects of stewardship policies that aim to optimize antibiotic use.

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