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Mexico
 Text
of 2001 Guadalahara Declaration
Status of Antibiotic
Resistance
Up to now, the only regulation established in Mexico for the sale
of antibiotics has been the prohibition of the distribution of
these types of drug to people other than physicians, a need for
distributors to adhere to the "authorized information for
prescription", and an obligation for the manufacturers of
antibiotics to include in the package the label, "the sale
of this product requires a medical prescription".
Antibiotic use as growth promoters in animal food is forbidden
in Mexico, but the production and use of antibiotics in
veterinary medicine do not follow always proper quality
control. There is no information on use in agriculture and
insufficient information on trends in supply, use, costs and
resistance on a regional and national basis. APUA Mexico held
a
conference in 1997 to consider establishing a national
surveillance system (RHOVE). APUA International sent two
experts to lend technical expertise.
Chapter objectives:
- Elaboration of
charts with the guidelines for the use of
antibiotics in specific clinical situations relevant to
Mexico.
- Elaboration of
printed material, directed to the medical
professionals and the antibiotic user to improve the use of
antibiotics.
- Collaboration
with the government in the development in
Mexico of a program to implement registration of
antibiotic consumption at all levels, hospitals and
nationally.
- Collaboration
with the authorities to promote
improvement of detection, reporting and communication
of resistant bacteria by nurses, doctors, laboratories and
related committees.
- Organization of
at least three workshops related to APUA
goals, to be held at the scientific meetings of the Internal
Medicine Society, Pharmaceutical Society or Nosocomial
Infections Society.
- Inclusion of the
Spanish version of the APUA Newsletter in
the medical journals related to the use of antibiotics.
Chapter Meeting
APUA-Mexico held its 1998 annual chapter workshop at the city
of San Luis Potosi, Mexico. The workshop was about Quality in
the Monitoring of Use and Resistance to Antibiotics in the
Mexican Hospital. There were 90 participants from all over the
country who discussed, among other things, the importance of
standardizing methods for isolate sampling, data reporting, and
data analysis.
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