Poor home hygiene contributing to antibiotic resistance

 

Fig 1The chain of infection in the home and everyday environments (adapted with permission from the IFH
Fig 1The chain of infection in the home and everyday environments (adapted with permission from the IFH

Poor home hygiene contributing to antibiotic resistance, warn global hygiene experts

According to the Global Hygiene Council’s (GHC) public health experts, following a risk-based approach to home hygiene is essential to help curb the growing threat of antibiotic resistance.

SPINK HEALTH

 

It is estimated that rates of resistance to commonly-used antibiotics could exceed 40-60% in some countries by 2030. With AMR set to claim the lives of 10 million by 2050 if no action is taken, the GHC’s experts are calling for a review of hygiene practices in homes and everyday life to ensure that they are effective and appropriate to the urgent public health issues we currently face, such as AMR and COVID-19.

In a new Position Paper developed by the GHC and published in the latest edition of the American Journal of Infection Control, the experts set out the evidence showing that better hygiene in our homes and everyday lives plays an essential part in tackling antibiotic resistance. Good hygiene contributes to the fight against AMR in two ways, by preventing infection, thereby reducing the need for antibiotic prescribing and preventing person to person spread of infections which are antibiotic resistant.

The paper reviews evidence that to minimize the spread of infections in home and community settings, a more focused approach to hygiene based on risk assessment is needed. For example, removing infection-spreading germs from high-risk surfaces and hands at critical times, such as when preparing food and using the toilet, has been proven to minimise the spread of infections from person to person. One intervention study demonstrates that improved hand hygiene amongst a group of children in a day centre can reduce the need for antibiotic use for common respiratory infections by 30%.

As Professor Sally Bloomfield, public health expert and contributor to the paper, explains; “Instead of deep-cleaning our homes, we urge everyone to maintain this evidence-based Targeted Hygiene approach in our homes and everyday lives, focusing on the times and places harmful microbes are most likely to spread, to not only help contain the spread of coronavirus now but ongoing to help tackle AMR.”

To coincide with the publication of the Paper, the GHC has launched a Manifesto calling upon national and international policy makers, health agencies and healthcare professionals to further recognise the importance of hygiene in the home and everyday life settings and acknowledge the following:

 

    • 1/ National AMR committees, responsible for implementing national AMR plans, should recognise that improved hand and surface hygiene in the home and community are key to minimise the spread of infections and as a consequence the consumption of antibiotics, which will then help in the fight against AMR. To achieve this, recommendations for improved hygiene in the wider community should be included in global AMR action plans by 2022 and in all national plans by 2025.

 

2/ IPC advice, guidance and education for HCPs on hand and surface hygiene and its relation to AMR should not be limited to healthcare settings, but also include recommendations to influence the wider community with immediate effect.

3/ Relevant medical associations should ensure messaging around home and community hygiene is cascaded to members through amending on-going and existing AMR training and education.

 

With evidence to show that home and community hygiene urgently needs to be taken more seriously, it is time for the global community to collaborate and recognise that reducing the need for antibiotic prescribing and the circulation of AMR strains in healthcare settings cannot be achieved without also reducing the circulation of infections and AMR strains in the community.

STATE OF THE SCIENCE REVIEW| VOLUME 48, ISSUE 9, P1090-1099, SEPTEMBER 01, 2020
Reducing antibiotic prescribing and addressing the global problem of antibiotic resistance by targeted hygiene in the home and everyday life settings: A position paper
Jean-Yves Maillard, BSc, PhD
Sally F. Bloomfield, PhD, BPharm
Patrice Courvalin, MD
Charles P. Gerba, PhD
Joseph R. Rubino, BA, MA
Elizabeth A. Scott, PhD, MPhi
DOI: https://doi.org/10.1016/j.ajic.2020.04.011

in EcoDebate, ISSN 2446-9394, 14/09/2020

 

Para pesquisar mais sobre este tema ou outros, use a ferramenta de pesquisa

 

[CC BY-NC-SA 3.0][ O conteúdo da EcoDebate pode ser copiado, reproduzido e/ou distribuído, desde que seja dado crédito ao autor, à EcoDebate com link e, se for o caso, à fonte primária da informação ]

Inclusão na lista de distribuição do Boletim Diário da revista eletrônica EcoDebate, ISSN 2446-9394,

Caso queira ser incluído(a) na lista de distribuição de nosso boletim diário, basta enviar um email para newsletter_ecodebate+subscribe@googlegroups.com . O seu e-mail será incluído e você receberá uma mensagem solicitando que confirme a inscrição.

O EcoDebate não pratica SPAM e a exigência de confirmação do e-mail de origem visa evitar que seu e-mail seja incluído indevidamente por terceiros.

Remoção da lista de distribuição do Boletim Diário da revista eletrônica EcoDebate

Para cancelar a sua inscrição neste grupo, envie um e-mail para newsletter_ecodebate+unsubscribe@googlegroups.com ou ecodebate@ecodebate.com.br. O seu e-mail será removido e você receberá uma mensagem confirmando a remoção. Observe que a remoção é automática mas não é instantânea.

Deixe uma resposta

Top