The state of bacterial endurance and antibiotic use in 2017 in Romania
Resistance to antimicrobial drugs is a growing threat to public health worldwide. It is estimated that 700,000 people die each year due to multiple resistant bacterial infections, of which 33,000 in the European Union. An estimate based on data published for 2015 places Romania in third place among EU countries on the impact of infections produced by antibiotic-resistant bacteria (estimated 1,740 deaths, long-term health effects).
According to the report of the European Center for Disease Control (ECDC) in Romania, in 2017, there is little tendency to reduce the overall consumption of antibiotics in medicine (by 12% compared to 2015) but to maintain the increased consumption of antibiotic reserves and those are at high risk of selecting resistant bacteria, particularly in the hospital sector.
The preliminary results of the current study on the prevalence of infections related to nursing (hospital) and the use of antibiotics in hospitals carried out in 2017 suggest the persistence of excessive prescription of antibiotics (perioperative prophylaxis lasts more than 24 hours in over 80% 43% of patients admitted on a given day receive antibiotics). Healthcare-associated infections in this study account for 5.9% of all patients after ECDC / INSP validation (rate close to EU Member States), which obviously exceeds the usual reference rate of only 0.53% of all of patients received.
The information was presented at a seminar organized by the Romanian Society of Microbiology in collaboration with the Office of the World Health Organization for Romania on Thursday, November 15, 2018. The seminar focused on resistance to antimicrobials. The seminar took place during the World and European Awareness Week on the use of antibiotics, which takes place annually in November. On this occasion, data on the resistance of bacteria involved in the production of invasive infections and antibiotic use at European Union level, including Romania, for 2017 were presented.
The event was attended by Professor Dr. Alexandros Rafail, President of the Romanian Society of Microbiology, Professor Dr. Adrian Streinu-Cercel, Director of the National Institute of Infectious Diseases "Prof. Dr. Gabriel Adrian Popescu – National Institute of Infectious Diseases" Professor Dr. Matei Balş "Bucharest, Professor Dr Diana Paun, Advisor to the Presidential Administration Dr. Matei Balş" Bucharest, Roxana Şerban – National Institute of Public Health.
World Antibiotic Awareness Week
At the Antibiotic Awareness Week (2018), which marked this year between 12 and 18 November, the WHO and its Regional Office for Europe are participating in the United Nations Food and Agriculture Organization (FAO) and the World Organization for Animal Health (OIE) to support the governments of the Member States to use the integrated approach of HEI as a response to the emergence of antimicrobial resistance that threatens public health, the progress of medicine over the last few decades and the global economic growth.
The serious situation we find is explained by:
- Excessive or inappropriate use of antibiotics in the treatment or prophylaxis of human infections
- Large antibiotic use in livestock and fish farming, including antibiotics belonging to the same categories
- The fact that pluripotent bacteria can be transmitted both between humans and animals
- Consumption of food containing small amounts of antibiotics imported into animal feed
- Environmental pollution with antibiotics used in the human and veterinary fields
To limit antimicrobial resistance, O.M.S. has developed together with United Nations services the idea of ONE HEALTH that allows integrated monitoring and implementation of the necessary measures in all areas that affect this natural phenomenon but is reinforced by human activities.