APPLICATIVE CONCEPT OF RASPRO: HOW INDONESIAN IMPLEMENT THE ANTIMICROBIAL STEWARDSHIP PROGRAM IN PRIVATE HOSPITALS
Ronald Irwanto
Indonesian Society of Infection Control (INASIC)
Trisakti School of Medicine
Abstract
The Multi Drug Resistant (MDR) Bacteria run to be a global issue in worldwide. Antibiotic resistance can be achieved by either acquisition of foreign antibiotic-resistance genes, or mutations in indigenous genes encoding the target or the transport systems of the drugs.1 Outbreaks of MDR A. baumannii have been reported in the New York area of the USA over the past 10 years.2 MDR (carbapenem-resistant and carbapenem susceptible) A. baumannii have also been reported in Canada. Simor et al. described an outbreak of MDR A. baumannii (carbapenem-susceptible) at a 14-bed burn unit in a Toronto hospital involving 31 patients that was resolved through strict compliance with infection control practices.3………..
Keywords: concept, implement, antimicrobial