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Joint Meeting of CMO and AMR-NFP Discussion and Conclusions Marija Seljak, Director General of Public Health Ministry of Health eu2008.si • Antimicrobial resistance remains one of the serious European and global health problem • In most MS between 2001 and 2005 an increase of the burden of antimicrobial resistance can be observed (EARSS) • marked differences in AB use between EU countries and in the types of AB that are used • consistent association between the level of use of certain AB and resistance to these AB has been reported confirming the suspected relationship between AB use and AMR in EU countries • Recommendations on prudent use of antimicrobials in human medicine adopted in 2001 • MS, European Commission and EU agencies (ECDC, EFSA, EMEA,…) have taken variety of actions • What are the areas of the Recommendations where the actions need to be improved? Need for… • developing national strategy with translation to action plan • ensuring ownership at the local level Need for… • Setting up inter-sectorial mechanism, e.g. a national committee, involving all relevant stakeholders with the clear mandate and political support Need for… • Strengthening surveillance systems and data quality on antimicrobial resistance, use of antimicrobial agents and healthcareassociated infections Need for… • Promoting good hygiene practices for the control of the transmission multidrug resistance bacteria Need for… • Promoting prudent use of antibiotics through awareness campaigns with credible, scientifically based messages and actions, aimed at the practitioners and general public and include information about the risk of self-medication Need for at EU level… • Follow – up on the implementation of Council Recommendations • Continue with “Health in all policies approach” in this area through EU initiatives Need for at EU level • Continue with activities within the ECDC in this area (country visits, recommendations, scientific work, surveillance) • Exchange of best practices among MS • Antibiotic Awareness Day HVALA! THANK YOU! eu2008.si