FOR BETTER PUBLIC HEALTH

Care of the elderly in the light of the rational use of antibiotics and the reduction of antimicrobial resistance (AMR) in long term care facilities

25. 11. 2019
To mark European Antibiotic Awareness Day (EAAD) and World Antibiotic Awareness Week (WAAW), the National Institute for Public Health (NIJZ), under the auspices of the World Health Organization (WHO) and in cooperation with the Ministry of Health (MoH), organized a professional seminar on the topic "Care of the elderly in the light of the rational use of antibiotics and the reduction of antimicrobial resistance (AMR) in long term care facilities (LTCFs)".

AMR poses a significant threat to public health. The target audience of the meeting were family physicians, nurses and other health care workers, who provide every-day health care for nursing home residents, and is yet another step towards introducing and implementing effective measures that will improve antibiotic prescribing and reduce the burden of AMR and thus improve health treatment and outcomes in nursing homes residents. The conclusions of the meeting were: 1.) Collaboration with the the Health Insurance Institute of Slovenia in the pharmacist counsellor/advisor program at the primary level on prescribing medicines to the elderly residents of LTCFs targeting the priority areas of the prudent use of antimicrobials, especially antibiotics, in LTCFs and reducing the risk of falls among the elderlies by reviewing the prescribed medicines, especially antihypertensives and psychopharmaceuticals is needed. The program should also include the preparation of the recommendations that pharmacist counsellors/advisors would use in their daily work in the work programme of the quality prescribing teams at the primary level and in the implementation of pharmaceutical counselling and pharmacotherapy examinations/revisions. We should ensure the involvement of dedicated experts who would prepare the recommendations. 2.) Further cooperation with the WHO Regional Office for Europe (WHO/Europe) in the field of AMR is needed 3.) Continued cooperation with the WHO Regional Office for Europe (WHO/Europe) in the field of evidence-informed policymaking (EVIPNet) is needed.