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COMMENT CSJ THE CLINICAL SERVICES JOURNAL Editor


Chris Shaw chrisshaw@stepcomms.com


Technical Editor Kate Woodhead


Business Manager Dean Walford deanwalford@stepcomms.com


Sales Executive


Rob Cornish robcornish@stepcomms.com


Journal Administration Katy Cockle katycockle@stepcomms.com


Design Steven Dillon


Publisher


Geoff King geoffking@stepcomms.com


Publishing Director Trevor Moon trevormoon@stepcomms.com


THE CLINICAL SERVICES JOURNAL is published in January, February, March, April, May, June, August, September, October and November by Step Communications Ltd, Step House, North Farm Road, Tunbridge Wells, Kent TN2 3DR, UK.


Tel: +44 (0)1892 779999 Fax: +44 (0)1892 616177 Email: csj@stepcomms.com Web: www.clinicalservicesjournal.com


The first stepin tackling antimicrobial resistance


The rise of antimicrobial resistance (AMR) is one of the biggest threats to global health in today’s world. The European Centre for Disease Prevention and Control/European Medicines Agency Joint Technical Report estimates that the current cost of AMR to the NHS is in excess of £180 million per annum. Although the 2013 - 2018 AMR Strategy


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and Public Health England’s ‘Keep Antibiotics Working’ national campaign in 2017 has raised awareness, the threat of AMR needs continual focus. According to Paul Jakeway, marketing director at Deb, hand hygiene is the first crucial step in preventing AMR and he believes that serious action needs to be taken now in order to protect the future of the NHS. “AMR is the ability of a microorganism (like bacteria and viruses) to stop an antimicrobial (such as antibiotics) from working against it,” Paul asserted. Citing The World Health Organization’s (WHO) global open-access tripartite antimicrobial resistance database, he added: “As a result, standard treatments become ineffective, infections persist and may spread to others. “A recent Government report found that antimicrobial resistance ‘continues to increase’ despite a drop in the amount of antibiotics prescribed by GPs, with AMR claiming 700,000 lives each year, that’s one person a minute. Paul described this as ‘a public health challenge’, but the pace of discovery and development of new antibiotics is slower than the spread of resistance mechanisms. The cost of failing to tackle AMR increases the cost of Healthcare with delayed treatments, lengthier stays in hospitals and more intensive care required.” However, by tackling AMR with effective hand hygiene methods Paul believes healthcare-associated infections (HCAIs) can be minimised. HCAIs are contracted while a patient is receiving care for another illness and add an extra burden to the nursing staff, increase the risk of AMR through over-use of antibiotics for something that the patient wasn’t being treated for, and they are extremely costly. “The WHO, Guidelines on Hand Hygiene in Health Care (2012), report that 50% to 70% of HCAIs are transmitted by hands and the growth in AMR could increase the severity of HCAIs further, as infections that we typically cure with antibiotics will


SEPTEMBER 2018


become untreatable,” Paul observed. “Therefore, hand hygiene and infection prevention should be the first line of defence against AMR in hospitals, but it is often overlooked. Although the 2013-2018 AMR Strategy highlighted the role of infection control in preventing AMR, we believe the new Strategy that comes into force next year can go further in highlighting the fundamental role that prevention plays in contributing to resistance.”


A failure to address the challenge of antimicrobial resistance could result in an estimated 10 million deaths every year globally by 2050 and a cost of £66 trillion in lost productivity to the global economy. Paul Jakeway, Deb.


Highlighting a need for stricter guidance,


Paul continued: “We must re-emphasise hand hygiene as central to reducing bacterial resistance and outline clear steps to improve hand hygiene compliance in hospitals. A failure to address the challenge of antimicrobial resistance could result in an estimated 10 million deaths every year globally by 2050 and a cost of £66 trillion in lost productivity to the global economy.” It seems that recognition alone is not sufficient and many are calling for stricter guidance to be introduced, to ensure hand hygiene compliance is the first line of defence in preventing infection.


Chris Shaw l Editor chrisshaw@stepcomms.com


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