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Need Policy Against Antimicrobial Resistance

The Chennai Declaration wants India to take urgent initiatives to formulate an effective national policy to control the rising trend of antimicrobial resistance and to ban on over-the-counter sale of antibiotics.

Chennai: The Chennai Declaration: A roadmap to tackle the challenge of antimicrobial resistance published in the latest edition of Indian Journal of Cancer has recommended to make it mandatory to set up an Infection Control Team (ICT) in all hospitals.

The declaration has also underline the need to change the medical education curriculum to include training on antibiotic usage and infection control.

It has proposed Regulatory authorities and accreditation agencies such as the National Accreditation Board for Hospitals and ISO to insist on a functioning ICT during the licensing and accreditation process.

The recommendations include offering Post-MD/DNB (internal medicine) sub-specialisation in Infectious Diseases at all post-graduate centres that offer sub-speciality training, compulsory training in infection control and infectious diseases training in under-graduate and post graduate curriculum in all specialities. The Medical Council of India should introduce one-week antibiotic stewardship and infection control training in the third, fourth and final year of MBBS and two-week training at the PG level.

Recommending the setting up of a National Task Force to guide and supervise the regional and State infection control committees, the paper suggests that the National Accreditation Board for Hospitals & Healthcare Providers (NABH) insist on strict implementation of hospital antibiotic and infection control policy, during hospital accreditation and re-accreditation processes.

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