Policy and strategies addressing prevention and control of antimicrobial resistance in Brazil: A scoping review protocol

Abstract

Introduction Antimicrobial resistance (AMR) is considered one of the biggest health challenges of the 21st century. It has both social and economic consequences; therefore, timely review of public health policies that have been designed to manage AMR is essential. Brazil too has developed and implemented various polices for the prevention and control of AMR. However, till date, no study provides insights regarding the various public health policies or other programs implemented by Brazilian institutes. Objective The objective is to define a scoping review protocol of policies that were developed to address prevention and control of antimicrobial resistance in Brazil, from a human health perspective. Method This protocol has been registered in the Open Science Framework (DOI 10.17605/OSF.IO/EC9ZJ). Indexed literature in English, Spanish and Portuguese published till December 2020 in Lilacs, PubMed, Embase, and official websites of the Brazilian government will be reviewed. This review considers all studies identified through a comprehensive search of peer-reviewed and grey literature databases that have a reference for policies made for managing AMR in Brazil. The criteria for the scoping review will be set by two evaluators. A third evaluator will be consulted, if there is any disagreement between the two primary evaluators. A standardized form will be used for data extraction from the selected studies. The results will be presented in a tabular form with narrative abstracts related to the topics identified through the scoping review protocol. The PRISMA extension for Scoping Reviews tool will be used.

Evolução das políticas brasileiras de saúde humana para prevenção e controle da resistência aos antimicrobianos: revisão de escopo

“…A presente revisão de escopo foi realizada conforme protocolo prospectivo descrito por Nunes et al ( 13 ), registrado em https://osf.io/ec9zj/ ( Open Science Framework ), em julho de 2021. O protocolo aderiu às diretrizes do Instituto Joanna Briggs (JBI) para esse tipo de estudo ( 14 ), e o relato foi feito conforme o documento Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) ( 15 ).…”

“…Em diversos países, o histórico das políticas sobre a resistência antimicrobiana é bem documentado ( 8 - 10 ). No Brasil, entretanto, apesar das medidas que vêm sendo propostas pelo governo, sobretudo após a formalização de uma agenda nacional a partir do PAN-BR ( 11 , 12 ), os estudos são escassos ( 13 ) e não existem pesquisas que sistematizem o histórico das políticas nacionais sobre o tema. Dessa forma, o objetivo do presente estudo foi mapear as políticas públicas relacionadas à prevenção e ao controle da resistência aos antimicrobianos na perspectiva da saúde humana no Brasil e sistematizar a evolução histórica dessas políticas.…”