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MOLDPRES news agency – Press release from the Ministry of Health, Labor and Social Protection



An alarming situation regarding resistance to antibiotics is registered in the Republic of Moldova. Authorities urge people and businesses to use antibiotics in a rational manner

Chişinău, November 12 / MOLDPRES /. Resistance to antibiotics is a growing threat to public health. As a consequence of infections caused by different drug-resistant bacteria, there are about 700,000 deaths annually around the world and about 33,000 people die each year in the European Union.

The Republic of Moldova is in an alarming situation in the antimicrobial resistance retention section, which requires the need for emergency intervention measures at all levels. Eurobarometer surveys on antimicrobial resistance between 2010 and date show that the level of knowledge of both field and population experts on the link between the use of antimicrobials, the development and spread of resistance to antimicrobials continues to be low . This leads to the irrational use of antimicrobials in humans and animals.

Today, worldwide, antibiotics are widely used in animal production, the same kinds of antimicrobials that are used both in humans and in farm animals, and the food chain is an important way of extending antimicrobial resistant microorganisms. Many of these microorganisms affect both animals and humans through the medium they share. This makes human, animal and environmental health inseparable when it comes to combating resistance to antimicrobials and the vision of One Health for All is the only viable way to progress in the region and in the world.

This year, all humanity will mark the fourth World Week of Antibiotic Awareness between November 12-18, 2018, committing itself to the principle of "Health for all."

"Resistance to antibiotics is an important public health problem, increasing the number of deaths due to therapeutic failure every year. In order to combat this phenomenon effectively, it is necessary to involve all authorities in the human and animal health sector, food security and food, environmental protection, drug production and research, registration of biologically active products, central and local public administrations, institutions and departments, non-profit organizations and civil society as a whole. Communication should lead to Increased public and professional knowledge about antimicrobial resistance, correct prescription and rational use of antimicrobials, "said Secretary of State Aliona Serbulenco.

"The Food Safety Agency, the veterinarians, ensures and supervises the compliance of the legislative and normative framework on the use of antibiotics in products of animal origin. We carry out extensive programs of examination of milk, meat and fish on antimicrobial residues to prevent them from entering in the consumer market and to avoid its negative impact on human health, "said Gheorghe Gaberi, director of the National Food Safety Agency.

Increase consciousness of antimicrobial resistance, strengthen laboratory monitoring and diagnosis in human and animal health, implement effective prevention measures for hygiene and prevention, rational consumption, including the prescription of antibiotics between the population and the veterinary sector are actions which will help reduce the phenomenon of antimicrobial resistance. The success of these activities lies in the participation of each person, clinic and veterinary, the community and society in general, "stressed the coordinator of public health emergency programs, the WHO Office in the Republic of Moldova, Stela Gheorghita

At the same time, the national results on the antimicrobial susceptibility of isolated pathogens from humans are worrisome to the preparations included in the national protocols for first-line therapy:

· Each third strain of Staphylococcus aureus is resistant to tetracycline (30.4%), clindamycin (35.2%) and erythromycin (38.4%).
· Approximately two of the three strains of Streptococcus pneumonia are resistant to co-trimoxazole (59.6%), cefaclor (61.3%), oxacillin (64.9%).
The members of the Enterobacteriaceae family, such as E. coli, showed a troubling resistance to amoxicillin-clavulanic acid (56.5%), ampicillin (58.2%), aztreonam (62.0%), ticarcilin (72.6%), .
· Multi-resistant primary and secondary tuberculosis registered high rates, respectively, compared to the average of the WHO European region, which accounted for 26% and 64%, compared to 12% and 50%, respectively.
· About 60% of strains of isolated microorganisms of patients with surgical wound infection are resistant to antimicrobials.
· Pharmacological treatment in common diseases such as pharyngitis, bronchitis or food poisoning caused by bacteria suffers from a failure due to irrational and sometimes excessive use of antimicrobials.

At present, there is a national legal framework on how to prescribe and release antibiotics. The Ministry of Health, Labor and Social Protection is taking measures to apply the provisions on the release of antimicrobial medication only to prescription, which allows a lower use of antibiotics, control of the release of medications and sanitary deviations.

Some rules on the correct administration of antibiotics:

· Use antibiotics only with prescription from the doctor.
· Do not ask for antibiotics if your doctor says you do not need it.
Always follow the doctor's advice when using antibiotics.
· Do not use the antibiotics left by another treatment.
· Prevent infections by frequent washing of hands, use of safe foods, avoiding contact with patients and timely vaccinations.

In the context of the World Awareness Week for antibiotic resistance in various medical institutions and educational institutions in the country, various awareness-raising activities and information on resistance to antibiotics will be organized.

Action plan
about the organization and realization of the World Antibiotic Awareness Week from November 12 to 18, 2018
Days of the week
date
hour
Planned activities
Place to unfold
responsible
partners
Monday
11/18/2018

10: 00-10: 30

Joint press conference MSMPS and ANSA "Human, animal and environmental health – A SINGLE HEALTH FOR ALL"
National Agency of Public Health
(Chişinău, 67 A Gh. Asachi str., Small living room)
MSMPS
ANSA
ANSP
AMDM
WHO Office of the Republic of Moldova

11: 00-12: 30
Visit to the National Reference Laboratory of Antimicrobial Resistance in Open Doors with the subject "Information and Data on Antimicrobial Resistance – Evidence of Action"
National Agency of Public Health
(Chişinău, Gh. Asachi str., 67 A, block 3)

ANSP
USMF "Nicolae Testemitanu"
IMS
WHO Office of the Republic of Moldova
tuesday
11/18/2018

10: 00-10: 30
Master class "How to wash your hands well".
Kindergarten No.5 "Licurici"
(Ialoveni, Basarabia str. 1)
ANSP

WHO Office of the Republic of Moldova
Wednesday
2018/11/14
02:00
Master Class "Reduction of the incidence of infections by hand hygiene".
Institute of Oncology of the Public Medical-Sanitary Institution
(Chişinău, 30 N. Testimitanu Street)
Institute of Oncology IMSP
ANSP
WHO Office of the Republic of Moldova
IMS
Thursday
11/15/2018
10: 00-11: 30
Roundtable "Antibiotics – Access to the Revenue"
National Agency of Public Health
(Chişinău, 67 A Gh. Asachi str., Small living room)

MSMPS
AMDM
ANSP
ANSA
The USMF "Nicolae Testemitanu", the Association of Moldovan Pharmacists,
Association of Moldovan Pharmacists, Medical Assistance
background
WHO Office of the Republic of Moldova
Friday
2018/11/16
10: 00-11: 30
Round table "Impact and cost of antimicrobial resistance"
National Agency of Public Health
(Chisinau mun., G. Asachi str., 67 A, small meeting room)

MSPMS
ANSP
ANSA

CNAM
AMDM
IMS
WHO Office of the Republic of Moldova


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