Chetan Singh, Julia Lohmann, Anita Pandey, Lubhan Singh
{"title":"Health Policy Analysis on the Containment of Antimicrobial Resistance (AMR) in India: A Mixed Methods Study of Antimicrobial Stewardship as a Pivotal Intervention in Tackling AMR","authors":"Chetan Singh, Julia Lohmann, Anita Pandey, Lubhan Singh","doi":"10.2174/0122113525273938231221110816","DOIUrl":"https://doi.org/10.2174/0122113525273938231221110816","url":null,"abstract":"\u0000\u0000This policy report aimed at two goals, that is, to report the findings of the literature review and explore the perceptions of the key stakeholders in seeking better insight into the antimicrobial stewardship program (AMSP), and to develop antimicrobial resistance (AMR) policy recommendations for the Ministry of Health and Family Welfare (MoHFW), India, based on the findings from the rapid systematic review of the literature (both published and grey) and the views of key stakeholders.\u0000\u0000\u0000\u0000A mixed method approach using literature review and qualitative interviews has been applied. A rapid systematic literature review focusing on the antimicrobial stewardship pro-gram’s key achievements and its implementation and impact, implementation challenges, gaps and barriers, and opportunities, has been carried out, which has been followed by conducting interviews of key stakeholders and reporting the findings along with the recommendations.\u0000\u0000\u0000\u0000The findings have shown significant progress towards AMSP, such as expanding to 90 secondary-level hospitals and district-level hospitals/nursing homes, and the Indian Council of Medical Research antimicrobial resistance surveillance and research network (ICMR AMRSN) program. Education, training, and microbiological testing have been found to be the current focus areas. However, there exist challenges, including a lack of leadership support, diagnostic stew-ardship, and staffing of clinical pharmacists and infectious control nurses. Key gaps and barriers identified include setting up microbiology laboratories and hiring ICN nurses and clinical phar-macists. Opportunities have also been identified. Based on these findings, we have made succinct recommendations to address the themes and issues identified.\u0000\u0000\u0000\u0000Without new medicines, India will struggle to manage antimicrobial resistance. This situation calls for national oversight. This study has demonstrated AMSP as crucial for fighting this silent pandemic. The Indian government and policymakers must swiftly address critical chal-lenges, gaps, and opportunities. These findings and recommendations might potentially strengthen the future antimicrobial resistance national action plan (AMR NAP).\u0000","PeriodicalId":7951,"journal":{"name":"Anti-Infective Agents","volume":"193 3-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140490148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nabila Ainseba, Nabila Loukili, Amina Soulimane, Samia Bellifa, M. A. Dib, A. Muselli
{"title":"Antimicrobial and Antifungal Effects of Essential Oils from Origanum vulgare, Lavandula officinalis, and Syzygium aromaticum on Bacterial Strains\u0000through Gaseous Contact","authors":"Nabila Ainseba, Nabila Loukili, Amina Soulimane, Samia Bellifa, M. A. Dib, A. Muselli","doi":"10.2174/0122113525283890240108162525","DOIUrl":"https://doi.org/10.2174/0122113525283890240108162525","url":null,"abstract":"\u0000\u0000Hospital-acquired infections, also known as nosocomial infections, affect\u0000thousands of patients worldwide. In Algeria, these infections raise significant concerns and give\u0000rise to numerous questions due to hygiene deficits and non-compliance with preventive measures.\u0000\u0000\u0000\u0000The main objective of this study was to investigate the antibacterial and antifungal\u0000properties of Origanum vulgare, Lavandula officinalis, and Syzygium aromaticum, as well as their\u0000combinations, to discover new antibacterial and antifungal agents to combat nosocomial infections\u0000related to hospital and medical care environments.\u0000\u0000\u0000\u0000Essential oils were obtained by a Clevenger-type apparatus and analyzed\u0000using GC and GC/MS. The antimicrobial and antifungal activity was tested against several bacteria\u0000responsible for nosocomial infections in in-vitro tests using the gas contact method in sealed containers.\u0000\u0000\u0000\u0000The essential oil extracted from S. aromaticum buds was primarily composed of eugenol\u0000(59.4%), E-β-caryophyllene (16.5%), and eugenyl acetate (10.5%). The analysis of the chemical\u0000composition of L. officinalis essential oil identified 1,8-cineole (22.8%), β-pinene (12.4%), and\u0000linalool (8.5%) as the main compounds. As for O. vulgare essential oil, its major components were\u0000carvacrol (72.6%) and thymol (10.5%). The results revealed that the essential oils of L. officinalis,\u0000O. vulgare and S. aromaticum, as well as their combinations, used at a concentration of 1/10, had\u0000a remarkable effect on the E. coli, P. aeruginosa and K. pneumoniae strains. In contrast, they had\u0000a limited effect on the Gram-positive strain, S. aureus. The antifungal effectiveness of the essential\u0000oil of O. vulgare, as well as the combination of O. vulgare and S. aromaticum, has been remarkable\u0000against the C. albicans species, leading to a complete inhibition of yeast growth\u0000\u0000\u0000\u0000Our results indicate that our essential oils have a broad spectrum of antimicrobial\u0000activity, which makes them particularly useful as disinfectants in health facilities and could be\u0000used as a valuable medicine to control nosocomial infections and avoid infections acquired during\u0000a stay in a health facility such as respiratory tract infections and urinary tract infections.\u0000","PeriodicalId":7951,"journal":{"name":"Anti-Infective Agents","volume":"46 52","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140487341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}