STATUS OF ANTIBIOTIC RESISTANCE
The most urgent antibiotic resistance problems identified by APUA Lebanon members are:
- Lack of regulation in human use
- Lack of surveillance of antibiotic use and resistance
- Lack of continuing medical education on antibiotic use for prescribers
- Lack of microbiological lab capacity/lab training/diagnostic tools
In addition, many hospitals (mainly those that are not university hospitals) rely on donations because they cannot afford to buy appropriate antibiotics. This leads to a risk of abusing those donated antibiotics.
APUA Lebanon was founded in March 2003. It is affiliated with the Saint George University Hospital, Nini Hospital, and Rizk Hospital, among others.
Chapter Objectives and Priorities:
- To conduct activities aimed at raising awareness about the problem of resistance in Lebanon and about the misuse and abuse of antibiotics
- To increase the knowledge of Lebanese laboratories about appropriate methods of detecting resistance in clinical and environmental isolates
- To encourage research and educational projects
- To create a forum for discussion about the issues related to the emergence of antibiotic resistance
- To work in collaboration with other national and international institutions for the development of a national center for policy making to monitor the use of antibiotics
- Workshop titled: Research in Antimicrobial Agents: Questions and challenges (3 to 6 May 2008- Mzar Intercontinental- Lebanon)
- Workshop titled: Measuring Antibiotic Consumption and Correlation with Resistance (October 30, 2009; November 3, 2009; December 4, 2009; December 19, 2009; January 15, 2010- SGH-UMC
- Academic input in the courses CLAS 321 (Medical Microbiology), CLAS 324 (case studies in Clinical Microbiology), CLAS 322 (Infection Control practices), CLAS 323 (Antimicrobial Agents and Mechanisms of Resistance), and CLAS 325 (Measuring and Auditing Antimicrobial Resistance). These courses are part of a Master of Sciences degree in Clinical Microbiology at the Faculty of Health Sciences- University of Balamand.
- Participation in the ARMED project between 2005 and 2007
- Awareness campaigns targeting Lebanese laboratories promoting the use of WHONET software for antimicrobial resistance data collection and analysis. This project targeted 10 well known hospitals throughout Lebanon- Sept 3-5 2009 and April 6-8 2010
- Participation in 2 health fairs (October 21, 2007 and October 25, 2008) organized by the FHS-UOB about the appropriate use of antibiotics
- Involvement in research projects
Dr. Ziad Daoud - Faculty of Medicine & Medical Sciences- University of Balamand- St George University Hospital, Beirut- PhD Microbiology, Head of Clinical Microbiology laboratory
Dr. Claude Afif - Faculty of Medicine & Medical Sciences- University of Balamand- St George University Hospital, Beirut- MD Infectious Diseases, Head of Infection Control dpt.
Dr. Monzer Hamze - Université Libanaise- Hopital Nini, Tripoli- PhD Microbiology, Head of Clinical Microbiology laboratory
Dr. Jacques Mokhbat - Rafic Hariri Hospital, Beirut- MD Infectious Diseases, Head of Infectious Diseases dpt.
Dr. Eid Azar - Faculty of Medicine & Medical Sciences- University of Balamand- St George University Hospital, Beirut- MD Infectious Diseases, Head of Infectious Diseases dpt.
Ms. Micheline Hajjar - Senior Microbiologist, St George University Hospital, Beirut- MS Microbiology
Dr. Hakime et al., of the APUA-Lebanon chapter, have written a case study of the first reported case of Vancomycin Resistant Enterococcus in Lebanon. See Full Article