This document outlines 10 strategies to tackle antimicrobial resistance in India. It begins by discussing the magnitude of antimicrobial resistance, noting that in the US at least 2.8 million people get antibiotic-resistant infections each year resulting in over 35,000 deaths. In India, antimicrobial resistance poses a significant public health problem and India has high rates of resistance in both humans and food animals. The strategies proposed include increasing awareness among doctors, nurses, and the public; implementing surveillance and reporting; establishing antibiotic policies in hospitals; developing standard operating procedures; tailoring antibiotic doses; and promoting evidence-based practices.

1. 10 STRATEGIES TO TACKLE ANTI
MICROBIAL RESISTANCE
MATHEW VARGHESE V
MSN(RAK),FHNP (CMC Vellore),CPEPC
Nursing officer
AIIMS Delhi

2. MAGNITUDE OF THE ISSUE
 Antibiotic resistance is one of the biggest public health
challenges of our time.
 *Each year in the U.S., at least 2.8 million people get
an antibiotic-resistant infection, and more than 35,000
people die.
 In 2013, CDC published the first AR Threats Report,
which sounded the alarm to the danger of antibiotic
resistance.
 The report stated that each year in the U.S. at least 2
million people get an antibiotic-resistant infection, and
at least 23,000 people die
 The 2013 and 2019 reports do not include viruses or
parasites.
 * 2019 CDC AR threat report Data

4. INDIAN SCENARIO#
 Antimicrobial resistance (AMR) continues to pose a
significant public health problem in terms of mortality
and economic loss in India
 India has one of the highest rates of resistance to
antimicrobial agents used both in humans and food
animals.
 Specific socio-economic and cultural factors prevalent in
India make the containment of resistance more
challenging.
 Injudicious use of antimicrobials and inadequate
treatment of waste waters are important drivers of AMR
in India.
# Taneja N, Sharma M. Antimicrobial resistance in the environment: The
Indian scenario. Indian J Med Res 2019;149:119-28

5. HOW TO TACKLE THE PROBLEM?
Strategy 1-Make Awareness
Among
Doctors Nurses Public

6. AWARENESS STRATEGIES
Conducting CMEs/CNEs
Including Anti Microbial Resistance and its
prevention in medical and nursing
curriculum and education
Familiarize National Action Plan for
antimicrobial resistance in India
Organization of Public lectures
And Media publicity

7. STRATEGY NO 2
SurveillanceReportingNotification

8. STRATEGY 3
No antibiotic policy
for non bacterial
infection

9. STRATEGY 4
Formulation of
Hospital
Antibiotic policy

10. STRATEGY 5
SOP
on Antibiotic
Preparation and
Administration for
nursing personnel

11. STRATEGY 6
Customize antibiotic
dose based on
patients condition

12. STRATEGY 7
Wait & watch strategy
Start antibiotic after C/S
report in non urgent patients

13. STRATEGY 8
Emphasize on full
course antibiotic
therapy & Discourage
abrupt stoppage

14. STRATEGY 9
Promote
Evidence based
practices

15. STRATEGY 10
Follow 10 Rights of
Medicine
Administration