Combating Antimicrobial Resistance

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04-05

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JOINT MESSAGE by

- i -

JOINT FOREWORD by

- ii -

- iii -

Figure 1: Organisational Structure of BDAMRC

Awareness and Education4.1

Awareness and Education4.1

Surveillance and Research4.2

Surveillance and Research4.2

Surveillance and Research4.2

Infection Prevention and Control 4.3

Infection Prevention and Control 4.3

Infection Prevention and Control 4.3

Optimise Use of Antimicrobials4.4

Optimise Use of Antimicrobials4.4

- iv -

TWG 1: Awareness and Education

TWG 2:

Surveillance and Research TWG 3:

Infection Prevention and Control TWG 4:

Optimise Use of Antimicrobials

Strategic

Objective:

Improve awareness and understanding of antimicrobial

resistance through effective communication, education and

training.

Strengthen the knowledge and evidence base through surveillance and research.

Reduce the incidence of infection through effective sanitation,

hygiene and prevention measures.

Optimise the use of antimicrobial medicines in human and animal

health.

Human Health Sector

Activities Conduct baseline and

post-intervention surveys to support targeted messaging

and to evaluate effectiveness

Set up a national surveillance system / programme for antimicrobial resistance.

Establish National Infection Prevention and Control

programme and strengthen infection prevention and

control programme in hospitals and health centres in

aligned to International Standards.

Review National Standard Drug List (NSDL) and recommend to include essential drugs according to WHO’s

Essential Medicines List.

Review and update National Antibiotic Guideline.

Set up a national monitoring system /

programme for antimicrobial consumption/usage.

Scale up antimicrobial stewardship programmes in

healthcare facilities.

Improve Good Prescribing Practices amongst HCWs.

Targeted Information,

Education and Communication activities to AMR awareness amongst the healthcare workers,

patient and family and the public.

Periodic Point Prevalence Survey on Hospital-Acquired Infections (HAI) and

antimicrobial use in acute care hospitals.

Optimise national vaccination programme.

Celebration of Hand Hygiene Day (5 May)

Celebration of World Antibiotic Awareness Week (WAAW) every

November. Incorporate AMR and related topics as core component of professional education, training, certification and

development.

Animal Health and Agriculture Sector

Activities To incorporate AMR related topics

(Prudent Usage of Veterinary Medicinal Products – VMPs in animal health) at different user

levels; VMP importers, distributers, farmers, animal owners,

veterinarians (farm and clinics), training of veterinary students and aspiring farmers to improve AMR

awareness (as indicated under OIE recommendations for AMR Public

Awareness).

Conduct AMR surveillance programs via

scheduled sample

collection from the abattoirs

(whole chicken) and submitted to

Veterinary Laboratory Services).

Conduct AMU surveillance via

Pharmacovigilance programs (farm

audits) at the farm production level under the Animal Health Disease Control Unit and

Fisheries Department.

Implementation of Best Farm Practices using Good Animal

Husbandry Practices (GAHP) as a requirement for all registered farmers under Department of

Agriculture and Agrifood.

Implementation of the Guidelines for Prudent Use of Antimicrobials in Livestock to support efficient and proper use of antimicrobials (VMPs)

in animal husbandry at all user levels.

VLS Unit to test for Drug

Residue Limit and AMR in poultry meat,

eggs and feed, and give results

to program owners for result

evaluation accordingly.

Continuous monitoring of all imports of Veterinary Medicinal Products

(VMPs) through the Poisons Order.

Reporting of Drug Residue Limits and AMR Surveillance Program Testing to be

done by program owners.

Ensuring pharmacovigilance amongst Veterinarians in

prescribing, Good Stewardship and good governance in animal

healthcare through Veterinary Surgeons Order (Registration and issuance of License to practice for

Veterinarians). Annual reporting of data AMR and AMU to OIE from the animal health

sector and periodic reporting on usage of antimicrobials by Fisheries

Department.

Brunei Darussalam Antimicrobial Resistance National Action Plan