The Chennai declaration: A roadmap to tackle the challenge of antimicrobial resistance

Abstract

"A Roadmap to Tackle the Challenge of Antimicrobial Resistance - A Joint meeting of Medical Societies in India" was organized as a pre-conference symposium of the 2 nd annual conference of the Clinical Infectious Disease Society (CIDSCON 2012) at Chennai on 24 th August. This was the first ever meeting of medical societies in India on issue of tackling resistance, with a plan to formulate a road map to tackle the global challenge of antimicrobial resistance from the Indian perspective. We had representatives from most medical societies in India, eminent policy makers from both central and state governments, representatives of World Health Organization, National Accreditation Board of Hospitals, Medical Council of India, Drug Controller General of India, and Indian Council of Medical Research along with well-known dignitaries in the Indian medical field. The meeting was attended by a large gathering of health care professionals. The meeting consisted of plenary and interactive discussion sessions designed to seek experience and views from a large range of health care professionals and included six international experts who shared action plans in their respective regions. The intention was to gain a broad consensus and range of opinions to guide formation of the road map. The ethos of the meeting was very much not to look back but rather to look forward and make joint efforts to tackle the menace of antibiotic resistance. The Chennai Declaration will be submitted to all stake holders.

A Study of Unnecessary Use of Antibiotics at a Tertiary care hospital: Urgent need to implement antimicrobial stewardship programs

“…13 Some developing countries have instituted these program. 27,28 and getting benefits from it and now it is recommended to implemented in Pakistan.…”

Why candidemia occurs early: a comment on “incidence, characteristics and outcome of ICU-acquired candidemia in India”

“…The first step in this direction has been taken by Ghafur et al on the basis of the Chennai Declaration which suggests monitoring the use of high-end carbapenems, colistin, tigecycline, and antifungals [4]. A clear message from this study is the need for strict antibiotic and antifungal stewardship in Indian ICUs.…”

“…There is currently no functional national antibiotic policy to contain antimicrobial resistance in India. The policy published in 2011 has been put on hold because of the non-implementability of major recommendations [4]. There is no restriction on over the counter (OTC) dispensing of antibiotics without prescription.…”

“…There is no restriction on over the counter (OTC) dispensing of antibiotics without prescription. The real situation is that once the patients reach these nursing homes they are given carbapenems (now colistin and tigecycline are also being given), but still antifungals are not used in these settings [4]. One of the reasons for the high incidence of Candida infections in the study by Chakrabarti et al [1] could be due to use of broad-spectrum antibiotics (92.3 %) in these patients with 43 % of these patients on carbapenems.…”

Emerging Antimicrobial Resistance and Evolving Healthcare: Dangerous Crossroads for the Community and the Military

“…The Jaipur declaration on AMR-2011 for SEAR and the Chennai declaration for India are efforts to this end (43,70). The control of AMR calls for institution of intergovernmental organizations focused on health similar to existing bodies for finance, trade, regional-cooperation, development, human rights, and environment.…”