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Antimicrobial stewardship and the role of the pharmacist in Africa
Conferral summary
Avhandlingen identifiserer utfordringene knyttet til antibiotikabruk og samlet forbruk i både kliniske og samfunnsmessige sammenhenger, med særlig vekt på tilfeller fra Etiopia. Den fremhever også behovet for mer robuste folkehelsepolitiske tiltak og sterkere internasjonalt samarbeid for å begrense antimikrobiell resistens.
Main research findings
Antibiotics hold a unique place in the history of modern medicine. This is so not only because they lose effectiveness with increasing use, but also due to the fact that they constitute “societal drugs” for their irrational use can harm patients anywhere in the world. This posits rational use of antibiotics to be ‘a common good’ for all, making a globally coordinated approach to control judicial use and consumption of antibiotics both at the clinical and community settings very essential.
This PhD dissertation shades light on some of the challenges associated with antibiotic consumption both at clinical and community settings, with particular focus on cases from Ethiopia. It also draws on the analyses of trend data on antibiotic consumption as part of an attempt to identify gaps for further public health policy actions. Moreover, a model conducted on how COVID19 might have had impacted the evolution of Antimicrobial Resistance (AMR) in African settings, based on a synthesis of the earliest available evidence, predicted that the former might have fuelled the later almost unhindered—not least during the period that constituted the peak of the pandemic.