The Advisory Committee on Antimicrobial Prescribing, Resistance and Healthcare Associated Infection (APRHAI) has published its 9th annual report.
The report gives an overview of APRHAI work from April 2017 to December 2018 and covers the topics:
- healthcare-associated infections (HAI)
- resistance to antimicrobials (AMR)
- antimicrobial prescribing and stewardship
- UK AMR strategy refresh
The report presents the findings of rises in specific types of infections within England based on Public Health England (PHE) data and the development of action plans to support the NHS to tackle them.
The Committee reviewed the five-year summary trends in antibiotic resistance and concluded that overall the figures show stability, even though slight increase in resistance was observed in some strains.
Latest data on antibiotic resistant bloodstream infection showed a 35% increase between 2013-2017.
The Access Watch and Reserve (AWaRe) index is also presented in the report. The index was proposed by the World Health Organisation in 2017 and UK was the first country to adopt it upon the APRHAI and PHE adaptation for national use in England. The index is now in use by NHS England.
Regarding the UK AMR strategy refresh, APRHAI say:
“We were asked to contribute to the refresh of the AMR strategy in 2017. In April 2017, a workshop was held with additional experts, to identify areas of focus and its recommendations were endorsed by the full Committee in June. Over the course of 2018, the Committee continued to advise on the development of the UK AMR National Action Plan 2019-2024 and potential new ambitions.”
Access the full report here.
A broader report for UK veterinary and human antibiotic use and resistance can be accessed here.