Uso racional de antimicrobianos: revisão sobre medidas nacionais e internacionais de controle à resistência bacteriana

Abstract

Introduction: The antimicrobials represent a major breakthrough for public health. However, with their crescent use, both in hospitals and in the community inappropriately, contributed to the increase in bacterial resistance. Objective: To identify the main national and international measures available to control bacterial resistance. Methodology: Integrative review held in the databases National Library of Medicine National Institutes of Health (Pubmed) and Periódicos Capes, in virtual libraries Scientific Electronic Library Online (SciELO) and Biblioteca Virtual em Saúde (BVS), National Library of Medicine National Institutes of Health (Pubmed), and information in the electronic site of the Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO). The final sample of 29 articles. Results and discussion: It is verified, among various control measures, the effective of guidelines, protocols and other programs and policies in the hospital and community areas that aim to reduce the dissemination of the bacterial resistance. However, in Brazil and in other countries, it is being necessary the implementation of new measures, since the incidence of multidrug-resistant bacteria is increasing. Conclusion: Brazil still need to improve their public health policies showing greater concern for the theme and instituting new guidelines to be adopted in both the hospital and community setting. It is necessary, that national and international character of government agencies to be more effective in regulating the fulfillment of the programs, guidelines and health policies, so that the measures that have been imposed have greater effectiveness.