National Antimicrobial Stewardship Plan (NASP)

The National Antimicrobial Stewardship Plan (NASP) is being developed to support the national action plan on antimicrobial consumption, utilization, and resistance.
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Objectives

NASP aims to support the national surveillance and promote operational research to strengthen the evidence, which is based on antimicrobial stewardship. Thus, it will also help to inform decision-making and drive national actions. The main target of NASP is to support countries – especially low-income and middle-income countries, in implementing Objective 4 of the Global Action Plan

Optimization

Optimize the use of antimicrobial medicines in human and animal health

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Enforcement

Update and enforce regulations for human and veterinary antimicrobial utilization.

Scope

A major challenge in public and private sector hospitals is the lack of cooperation and coordination amongst the healthcare professionals. Prescribing antibiotics is a team effort of physicians, nurses, microbiologists, and pharmacists, to help improve the patients’ health. Antimicrobial Stewardship Program (ASP) ensures the participation of each healthcare professional, thus minimizing the irrational use of antibiotics and optimizing the therapeutic regimes of infectious diseases. The program can aid the medical staff to enhance the quality of life by reducing the risk of antimicrobial resistance, reducing the overall economic health burden, ensuring patient safety, reducing treatment failures, and improving diagnosis.

Hospital’s and Outpatient’s Stewardship

ASPs can help clinicians improve clinical outcomes and minimize harm by improving antibiotic prescriptions. Hospital prescribers and pharmacists can improve antibiotic prescription by optimizing antibiotic selection, re-assessing antibiotic treatment when the results of diagnostic testing are available, and using the shortest effective duration of therapy.

Hospital antibiotic stewardship programs can increase infection cure rates while reducing:

Treatment failures

Hospital acquired infections (HAIs)

Adverse effects

Antibiotic resistance

Hospital costs and lengths of stay

Fixing one program as a standard for an antibiotic prescription for all hospitals is not acceptable because each hospital has its own needs. Physicians’ priorities are also different for different indications. So, adapting CDC’s Hospital core elements for antimicrobial stewardship program makes the decisions regarding antibiotic prescription easy. These core elements are attached in the resources section. Similarly, there are also core elements for antibiotic stewardship for outpatient facilities. This helps the clinicians improved antibiotic prescribing, and measures the use by the patients.

Collaboration

To implement the Antimicrobial Stewardship Program, we are working in collaboration with international stakeholders. At a national level, we have AMR & IPC sentinel sites to support the national program (NASP),  improve prescribing practices, and therefore, reducing the risk of antimicrobial resistance. 

AMR Sentinel Sites

Aga Khan University Hospital, Karachi

Abbas Institute of Medical Sciences, Muzaffarabad

Ali Medical Centre, Islamabad

Benazir Bhutto Hospital, Rawalpindi

Civil Hospital, Karachi

Fauji Foundation Hospital, Rawalpindi

Holy Family Hospital, Rawalpindi

Jinnah Hospital, Lahore

Jinnah Postgraduate Medical Centre, Karachi

Mayo Hospital, Lahore

Nishtar Hospital, Multan

Pakistan Kidney and Liver Institute and Research Centre, Lahore

PIMS, Islamabad

Railway General Hospital, Rawalpindi

Rawalpindi Institute of Cardiology, Rawalpindi

Rehman Medical Institute, Peshawar

Shaukat Khanum Memorial Cancer Hospital & Research Centre, Lahore

Shifa International Hospital, Islamabad

National Stewards

Maj. General Dr. Aamer Ikram

Maj. General Dr. Aamer Ikram

Executive Director-NIH

Dr. Muhammad Salman

Dr. Muhammad Salman

Chief, PHLD-NIH

Dr. Afreenish Amir

Dr. Afreenish Amir

Technical Officer AMR-NIH

Dr. Tamoor Hamid Chaudhry

Dr. Tamoor Hamid Chaudhry

Senior Scientist AMR-NIH

Numrah Safdar

Numrah Safdar

Pharmacist AMR-NIH

Saadia Ambreen

Saadia Ambreen

Scientific Officer-NIH

Maj. General Dr. Aamer Ikram

Maj. General Dr. Aamer Ikram "Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis...

Ashfaq Ahmad

Mr. Ashfaq AhmadMr. Ashfaq Ahmad has done Bachelor of Science BS (Hons) in Medical Laboratory Technology from Sheikh Fatima Institute of Nurses and Health Sciences, Sheikh Zayed Hospital, Punjab University Lahore. As a motivated graduate of social sciences. He has...

Bilal Ahmed

Bilal AhmedHe is a PhD Sociology scholar at the International Islamic University, Islamabad. His area of interest is social research method, especially in qualitative research method. In addition to publication, he has international and national publications. He...

Saadia Ambreen

SAADIA AMBREENQualification: Pharm-D, MS MicrobiologyDesignation: Scientific Officer, NIH, Islamabad.National Institute of Health is the focal point for Antimicrobial Resistance Program. NIH has taken many initiatives to tackle the threat of AMR under the umbrella of...

Fariha Aslam

Fariha AslamMiss Fariha Aslam has done Bachelor of Science (BS) in Medical Laboratory Technology from Shaheed Zulfiqar Ali Bhutto Medical University,Islamabad. She has worked  in the labs of Microbiology, Chemical Pathology, Cytogenetics, Histopathology, and...

Sara

SaraSara is a PhD Econometrics scholar at the Pakistan Institute of Development Economics.  She is an experienced Statistician with over two years of experience analyzing and interpreting complex data. She worked with various research experts and has several...

Dr. Tamoor Hamid Chaudhry

Veterinarian and Microbiologist with more than eight years of experience in conducting complex tests, review data and write up reports to advise whether the results are valid against relevant testing protocols.

Numrah Safdar

Registered A pharmacist, from Riphah International University. Currently working as a Pharmacist in AMR-containment and IPC project, N.I.H Islamabad

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Antimicrobial Resistance Department, National Institute of Health (NIH) Park Road, Chak Shahzad, Islamabad, Pakistan