This Action plan for the implementation of the National Strategy for the control of bacterial resistance to antibiotics for the period from the year 2017 until 2021 (which is in line with the Master Plan for Health Development of Montenegro for the period 2015-2020 and the National Plan for rational consumption of medicines, as well as with the Strategy and Strategic Action Plan of the World Health Organization-WHO for antibiotic resistance for Europe) is here aimed for the implementation of designated activities and objectives as regards the year 2019. The National Strategy for the control of bacterial resistance to antibiotics sets targets and plan of activities and procedures to be implemented in Montenegro to halt the proliferation of bacterial resistance to antibiotics in human and veterinary medicine. Realization of the planned activities should achieve through rationalization of antibiotic consumption, and thus control over the spreading of bacterial resistance to antibiotics. The Action plan for 2019 is a set if 8 key measures which includecca total of 21 activities. Realization of goals designated measures shall be achieved with the following measures: Operational objective 1. Strengthening inter-sectoral cooperation, development of clear national plans with coordination of different sectors (veterinary, medicine)-Key measure 1. Monitoring of bacterial resistance to antibiotics; Operational objective 2. Improvement and modernization of diagnostics, in order to obtain more accurate results so that appropriate antibiotics can be included in a timely manner, which would contribute to rationalization of use of antibiotics-Key measure 2. Monitoring antibiotic consumption; Operational objective 3. Improving the control of antibiotic resistance of bacteria: improvement of national system for monitoring, collecting, analyzing and reporting data on monitoring of developments of resistance, improvement of the national database and connections with regional databases and beyond-Key measure 3. Education of health workers on the rational use of antibiotics; Operational objective 4. Promoting the rational use of antibiotics and strengthening supervision: development pf national guidelines on the rational use of antibiotics and strengthening control over antibiotic consumption as complementary to the activities envisaged by the National Programme for the rational use of medicines-Key measure 4. Development of national guides and expert guidelines for the rational use of antibiotics; Operational objective 5. Strengthening infection control and nosocomial infection control: prevention and control of nosocomial infections with the help of nosocomial infection control and control teams as complementary to the activities of the National Commission on nosocomial infections-Key measure 5. Celebrating Awareness Day on the importance of antibiotics; Operational objective 6. Prevention of the development of antibiotic resistance in veterinary medicine and in food production: encouraging the proper use of antibiotics in these sectors and establishing an integrated system for monitoring of bacterial resistance to antibiotics and the use of antibiotics in these sectors as complementary to activities envisaged by the Food Safety Strategy-Key measure 6. Educating the general population about the harmfulness of overuse of antibiotics in veterinary medicine, Key measure 7. Education of veterinary workers on the rational use of antibiotics, and Key measure 8. Development of national guides and expert guidelines for the rational use of antibiotics in veterinary medicine. Activity of drafting guides for the use of antibiotics in veterinary medicine for animals entering the food chain, as well as the preparation of records on the treatment and use of antibiotics by animal keepers are implemented as continuous actions. In order to control the bacterial resistance to antibiotics (key measures: 1, 2 and 5), and in in accordance with activities from the Action Plan, a network for collecting data on bacterial resistance to antibiotics is also established. The network consists of all public microbiological laboratories in health sector. Data are collected according to the method of the CAESAR network that was formed by World Health Organization, which includes Montenegro.
Monténégro · 2019-01-01