ASP Policy Updates

CIDRAP-ASP provides policy analysis of national and international antimicrobial resistance and stewardship issues, legislation, regulations, and guidance. Our objective is to present policy updates as part of an ongoing conversation about the scope, principles, process measures, and governance of antimicrobial stewardship, with the ultimate goal of informing implementation of evidence-based practices across the continuum of human and animal health.

In Brief: Policy News 

In Depth: Policy Updates 

In Brief: Policy News
Policy news briefs provide up-to-date information on antimicrobial stewardship legislation, regulatory proposals and mandates, guidelines, and activities across the human and animal health spectrum.

Jul 9, 2020 - The Public Health Agency of Canada published the 2020 Canadian Antimicrobial Resistance Surveillance System report, finding that the situation has worsened in Canada from 2014 to 2018, with increases in potentially fatal drug-resistant bloodstream infections, a nine-fold increase in patients testing positive for carbapenem-resistant organism colonization, a doubling in drug-resistant gonorrhea rates, increases in hospital antimicrobial use and purchasing, a 120% increase in the community use of carbapenems, and an overall decrease but a recent rise in antimicrobials for animal use.

Jul 9, 2020 - In The Telegraph, David Graham, PhD, and Peter Collignon, MBBS, PhD, discuss the ways in which increasing access to clean water and basic sanitation, along with efforts to curb pollution, may have significant effects on the emergence and spread of antimicrobial resistance, along with the need for international cooperation to develop simple and sustainable solutions.

See all In Brief: Policy News 

In Depth: Policy Updates
Quarterly updates synthesize information on recent antimicrobial stewardship initiatives in particular contexts, such as outpatient prescribing, rapid diagnostic development and use, and One Health programs. Updates provide overarching concepts and rationale for relevant mandates and guidance with an eye toward integrating information that empowers policy implementation and advocacy.

ASP Policy Update, Jul 2019 (pdf, 454 KB)

Updates on antimicrobial stewardship policy, guidance, partnerships, and R&D that were in the news during the second quarter of 2019.

ASP Policy Update, Apr 2019 (pdf, 634 KB)

Updates on One Health antimicrobial stewardship policy, guidance, partnerships, and R&D that were in the news during the  first quarter of 2019.

ASP Policy Update, Apr 2018 - Overview of Recent Policy Initiatives and New Resources for Antimicrobial Stewardship (pdf, 213 KB)

The April update provides a broad overview of policy initiatives and key resources pertaining to antimicrobial stewardship that have been completed or published during the past year. 

ASP Policy Update, Jan 2018 - Antimicrobial Stewardship and Rapid Diagnostic Testing in Low-Resource Settings (pdf, 152 KB)

The January update focuses on rapid diagnostic testing in low-resource settings to optimize the use of antimicrobial agents and prevent the spread of drug resistance, highlighting recent global policy initiatives aimed at accelerating the development and deployment of robust, accurate, and inexpensive diagnostic methodologies.

Lab worker performing a PCR test

ASP Policy Update, Oct 2017 - Rapid Diagnostic Testing in Antimicrobial Stewardship (pdf, 224 KB)

The October update focuses on diagnostic testing for infectious diseases and the role of rapid testing in antimicrobial stewardship

ASP Policy Update, Jul 2017 - Data to Inform Antimicrobial Stewardship (pdf, 187 KB)

The July update addresses the central role of antimicrobial resistance data in the development of effective antimicrobial stewardship programs and highlights some of the key sources of data on drug-resistant pathogens and antibiotic consumption in healthcare and agriculture.

ASP Policy Update, Apr 2017 - Global Action on Antimicrobial Resistance (pdf, 144 KB)

The April update highlights major global policy initiatives to combat the spread of antimicrobial-resistant organisms, involving industry leadership, global policy analysis, research funding, legislation, and strategic international collaboration.

ASP Policy Update, Jan 2017 - Antimicrobial Stewardship in Animal Agriculture (pdf, 154 KB)

The January update summarizes recent initiatives aimed at enhancing antibiotic stewardship in animal production. 

ASP Policy Update, Oct 2016 - Outpatient Antimicrobial Stewardship (pdf, 188 KB)

The October update summarizes recent policy initiatives in the United States aimed at reducing unnecessary or inappropriate outpatient antibiotic use, a key modifiable element in the rise of antimicrobial resistance.

ASP Policy Update, Jul 2016 - Antimicrobial Stewardship in Hospitals and Long-Term Care Facilities (pdf, 159 KB)

The July update highlights recent initiatives in the United States to enhance antimicrobial stewardship in hospitals and long-term care facilities.


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