Titre : | Is antibiotic resistance in New Caledonia controlled by public health policies? |
Auteurs : | Maëva Ganacheau |
Type de document : | Mémoire |
Année de publication : | 2022 |
Description : | 74p. |
Langues: | Anglais |
Classement : | MPH22/ (Master EHESP International master of public health - MPH) |
Mots-clés : | Pharmacorésistance ; Médicament antibiotique ; Mortalité ; Nouvelle Calédonie ; Surveillance épidémiologique ; Consommation pharmaceutique ; Prescription ; Politique santé |
Résumé : |
Introduction: Antibiotic resistance is the phenomenon of bacteria becoming resistant to the action of antibiotics. This could lead in the next few years to the death of thousands of people, as a
result of simple infections. To monitor this phenomenon of antibiotic resistance, surveillance networks have existed for several years in mainland France. In New Caledonia, responsibility for health fall within the jurisdiction of local institutions. The responsibility of the competent authorities is therefore to establish an inventory of the phenomenon of antibiotic resistance, and to assess whether the public policies put in place have been effective in their actions. Methods: Antibiotic consumption and bacterial resistance data were collected in community and hospital settings, in the private and public sectors. They were mostly declarative, but some data were collected through a pre-existing monitoring network. The impact of the implementation of public health actions has been assessed on the phenomenon of antibiotic resistance. Results Antibiotic consumption overall is higher in New Caledonia than in mainland France. Excessive consumption of antibiotics appears to be positively correlated with antibiotic resistance. The hospital department generating the greatest number of resistances is surgery. The consumption profiles are similar to other Pacific islands: this makes it possible to argue in favor of the misuse of penicillins. Targeted antibiotic resistance issues have been successfully addressed by the competent authorities in a collaborative manner. Discussion and conclusion: The consumption of antibiotics in New Caledonia is too high, which seems to be correlated with antibiotic resistance. Aberrant levels of consumption and resistance having been noticed at the CHT, further investigations would be necessary to determine whether this is linked to misuse or to an epidemic context, thanks to monthly data, and thanks to interviews with prescribers. |
Diplôme : | Master MPH of public health |
Plan de classement simplifié : | Master of Public Health - master international de Santé Public (MPH) |
En ligne : | https://documentation.ehesp.fr/memoires/2022/mph/maeva_ganacheau.pdf |
Exemplaires (1)
Code-barres | Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|---|
096495 | MPH22/0004 | Mémoire | Rennes | Salle des Glénan | Empruntable Disponible |