1 / 23

Europe and the fight against Antimicrobial Resistance

Europe and the fight against Antimicrobial Resistance. Vincent Houdry DG SANCO C3 Health Threats Unit. Intersectoral mechanism. SANCO: health, food, feed, animals, plants… ENV: biocides, agriculture, residues ENTR: pharmaceutical products, biocides

hayden
Télécharger la présentation

Europe and the fight against Antimicrobial Resistance

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Europe and the fight against Antimicrobial Resistance Vincent HoudryDG SANCO C3Health Threats Unit

  2. Intersectoral mechanism • SANCO: health, food, feed, animals, plants… • ENV: biocides, agriculture, residues • ENTR: pharmaceutical products, biocides • RTD: basic research, new antibiotics and tests • ECDC, EMEA, EFSA, JRC, non food scientific committees, community reference laboratory for AMR…

  3. Feed/animal/food • Zoonoses Monitoring directive (2003) • Decisions (2007) on Salmonella, Campylobacter, MRSA • RASFF: Rapid Alert System on Food and Feed • Prohibition of the use of antibiotics as feed additives (2003)

  4. Community reference laboratory on AMR • Directive on the monitoring of zoonoses and zoonotic agents • Monitoring of antimicrobial resistance • Ensure quality of antimicrobial susceptibility testing and harmonise procedures and methodologies

  5. DG Environment • Biocidal products directive (1998) • Revision of all active substances regarding safe use for human health and environment (before 2010) • SCENIHR: scientific opinion to assess AMR effects of biocides • Cross resistance to antibiotics as a new criteria in evaluation of biocidal products?

  6. DG Research • 5th FP 1999-2002: 20M€/year • 6th FP 2003-2006: 40M€/year • Translational research: Grace and Mosar • Animal health: alternatives to antibiotics and transmission of AMR • 7th FP 2007-2013: First call • AMR in human health • Biocides and AMR in food and animal health

  7. EFSA • Food as a vehicle for antimicrobial resistance: EFSA Q 2007 089 • Antimicrobial resistance of decontaminants substances (poultry carcasses)/SCENIHR • Data on AMR in zoonotics agents (salmonella, campylobacter) in animals and food of animal origin (Zoonoses directive)

  8. EMEA • Guideline to applicants to obtain more useful prescribing information • SPC: info on prudent use, prevalence of resistance • Veterinary unit: • Guidance on preauthorisation requirements for authorisation of antimicrobials – potential to select for resistance • Considerations on use of Fluoroquinolones for food producing species (cephalosporins, macrolides, lincosamines, streptogramins)

  9. ECDC • 3 meetings of NFP for AMR • Country visits on AMR • Working groups: • Clostridium difficile, MRSA • DSN: EARSS, ESAC, IPSE/HELICS • First EU Antibiotic day

  10. DG SANCO Human Health • EU Network for surveillance and control of communicable diseases (Decision 2119/98/EC) • Antimicrobial Resistance • Nosocomial Infections • Surveillance of specific pathogens

  11. EU Public Health Programme 2003-2008 • EUCAST: developing common methodology, case definitions and data to be collected for the surveillance on AMR • ESAC: monitoring the level of consumption of antibiotics in the EU. • EARSS: surveillance of AMR in the EU

  12. EU Public Health Programme 2003-2008 • IPSE: development of guidelines and educational tools to better and effectively manage the risk of HCAI and AMR - Surveillance of AMR in intensive care units • ABS INTERNATIONAL: implementing strategies for the appropriate use of antibiotics in hospitals • BURDEN: information (morbidity, mortality and economic impact) on the burden of disease and resistance across Europe • E-Bug: development of educational programmes on antibiotics in schools

  13. EU Public Health Programme 2008-2013 • Work plan 2008 "Improve citizen's health security" • Promotion of risk assessment thematic networks for exchange and collaboration on critical issues (AMR)

  14. Community Strategy against AMR • Council recommendation on the prudent use of antimicrobial agents in human medicine: 2001 • Intersectoral mechanism • Strategies towards the prudent use • Surveillance Systems on usage of ATB and AMR • Control and preventive measures • Promote education and training of HCW and Inform the general public • First implementation report: 2005 • Commission staff working document

  15. First implementation report • Appropriate Intersectoral Mechanism • Development of Strategies and action plans • Lack of data at lower level; feedback to prescribers • Collaboration human/animal health • Ban OTC/Self medication • Prescription guidelines + monitoring impact • Hygiene and infection standards in health care institutions • Enlarge surveillance activities to antivirals and antiparasitic agents • Campaigns toward the general public

  16. Planned Actions in Human Health • Second implementation report on the Council recommendation on the prudent use of antimicrobial agents in human medicine (2009)

  17. Planned EU Actions in Human Health • Patient safety proposal • Commission Communication on Patient Safety • Council Recommendation on • patient safety and quality of health services • the prevention and control of healthcare associated infections

  18. Recommendation on HCAI • Healthcare-associated infections (HCAIs) affect an estimated 4.1 million patients and cause an estimated 37,000 deaths in the EU every year. • HCAIs lead to increase in length of stay, illness, mortality and costs. • Infections caused by these pathogens are often difficult to treat due to antimicrobial resistance (Council Recommendation 2002/77/EC). • Organisational and behavioural changes are needed to make an impact. • Studies and impact assessments show that intervening is cost-effective ! • However, a strong political commitment is needed !!!  EU initiative for a proposal for a Council Recommendation

  19. Content of recommendation on the prevention and control of HCAIs – national level • At the national level: • National strategy for prevention and control of HCAIs • National dedicated multidisciplinary Committee for implementation of national strategy • Senior management of healthcare institutions bear responsibility for quality of care • Recommended objectives of national strategy: • Implement control and preventive measures. • Organise infection prevention and control programmes. • Establish or strengthen active surveillance systems on HCAIs. • Foster education, training, research and information exchange.

  20. Content of recommendations on the prevention and control of HCAIs – EU level • Facilitate mutual information, consultation, cooperation and action. • Develop scientific guidance (ECDC). • Consider with Member States how to publicly report data on HCAIs. • Strategies for reduction of exposure of healthcare staff to HCAIs (= safety at work). • Funding research. • Cooperation with WHO and others. • Revise/update recommendations. • Submit regular implementation reports to the Council, on the basis of Member States’ reports on their follow-up to the Council Recommendation.

  21. EU action plan to fight TB • MDR and XDR TB • Framework action plan published next week • Next step • Who does what ? • timetable • indicators

  22. AMR on the political agenda • Council conclusions on AMR • Community • Hospital • New antibiotics • ….

  23. Thank you for your attention! Commission Public Health website: http://ec.europa.eu/health/index_en.htm EU Health Portal: http://ec.europa.eu/health-eu

More Related