AYM Nazim Uddin1, Chowdhury Mizanur Rouf2, Shahriar Hussain Chowdhury3, Tanzil Sajjad4
1. Assistant Professor (CC), Haematology, North East Medical College Hospital, Sylhet
2. Associate Professor, Jalalabad Ragib Rabeya Medical College Hospital, Sylhet
3. Professor, Head, Department of Dermatology, North East Modical College Hospital, Sylhet
4. Associate Professor, Sylhet Women’s Medical College Hospital, Sylhet
Abstract
Antimicrobial resistance (AMR) poses a significant threat to public health globally, with Bangladesh facing severe challenges due to the misuse and overuse of antibiotics. This article explores the importance of Antimicrobial Stewardship (AMS) and Standard Treatment Guidelines (STGs) for empirical therapy in managing AMR. AMS aims to optimize antibiotic use, ensuring rational prescription practices and reducing the risk of resistance. STGs provide evidence-based guidelines for empirical therapy, particularly in situations where immediate treatment is necessary before identifying the causative pathogen. The article discusses the challenges of implementing AMS and STGs in Bangladesh, including limited diagnostic infrastructure, poor regulatory enforcement, and lack of awareness among healthcare providers and the public. It also highlights the need for education, improved diagnostics, and stronger regulatory frameworks to mitigate these challenges. Effective AMS and adherence to STGs are critical for reducing the spread of AMR in Bangladesh and preserving the efficacy of antibiotics for future generations.
Key Words: Antimicrobial Stewardship (AMS), Antimicrobial resistance (AMR), Standard Treatment