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  Table of Contents  
SPECIAL ARTICLE
Year : 2014  |  Volume : 32  |  Issue : 3  |  Page : 221-228
 

"Chennai Declaration": 5-year plan to tackle the challenge of anti-microbial resistance


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Date of Submission06-Mar-2014
Date of Acceptance08-Mar-2014
Date of Web Publication10-Jul-2014

Correspondence Address:
Chennai Declaration Team
Coordinator, Chennai declaration, Antimicrobial Stewardship Committee Chairperson, Clinical Infectious Diseases

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0255-0857.129053

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How to cite this article:
Team C. "Chennai Declaration": 5-year plan to tackle the challenge of anti-microbial resistance . Indian J Med Microbiol 2014;32:221-8

How to cite this URL:
Team C. "Chennai Declaration": 5-year plan to tackle the challenge of anti-microbial resistance . Indian J Med Microbiol [serial online] 2014 [cited 2017 Dec 13];32:221-8. Available from: http://www.ijmm.org/text.asp?2014/32/3/221/129053


The Chennai Declaration is a document, prepared by representatives of various stakeholders and eminent experts in India, to tackle the challenge of anti-microbial resistance from an Indian perspective. [1] since its publication in December 2012; the Declaration has had an unprecedented and unexpected impact at national and international levels. This was no doubt due to the significance of the document, the importance of the topic and to the medical need to change the existing resistance situation in the country. [2],[3],[4],[5],[6],[7],[8],[9],[10],[11]

Although Ministry of Health had initiated efforts to control anti-microbial resistance in the country way back in 2010, publicity efforts around the Chennai Declaration created widespread awareness about the issue among the Indian medical community, policy makers and public, and changed the way that the international academic community viewed the resistance scenario in developing countries. [12],[13],[14],[15]

Crucially, the Chennai Declaration proposed a 5-year strategy to control antibiotic resistance, but did not discuss delivery of its various components in detail. [1] The Chennai Declaration's positive reception, and the recognition and appreciation it received at national, regional and global levels has now inspired us to add detail to these recommendations.

In tune with the basic spirit of the Declaration - a 'Practical not Prefect' approach - we have prepared achievable targets for first, second and fifth years. During preparation of this 5-year plan, we have considered, reviewed and adopted the suggestions and opinions of many experts and members of the public.

Currently there are no published nationwide data on compliance with infection control and antibiotic stewardship guidelines in the country. This makes futuristic predictions very difficult. But this lack of data, though a limitation, should not dissuade us from formulating an action plan to tackle the ever-increasing menace of anti-microbial resistance. We have been very realistic and, not over-ambitious, while preparing the recommendations. On this basis, the Chennai Declaration 5-year plan should be a solid foundation for implementation of India's national antibiotic policy.

Disclaimer

The document is a compilation of suggestions by the contributors and hundreds of other individuals who provided suggestions verbally, via email and through the Chennai Declaration website (http://www.chennaideclaration.org). Only those individuals who provided permission to be named are included in the contributors list. The Co-ordinator of Chennai Declaration takes responsibility for the content in the article. While formulating the five -year plan, we have studied similar documents prepared by UK Department of Health and American CDC

Contributors list

Abdul Ghafur, Co-ordinator, Chennai Declaration and Antibiotic Stewardship Committee Chairperson, CIDS (Clinical Infectious Diseases Society); Dilip Mathai, Past President CIDS; A Muruganathan, Past President, Association of Physicians of India (API; representative to the Roadmap meeting); OC Abraham, Former Secretary, CIDS; Narendra Saini, Secretary General IMA (Indian medical Association); Jayalal J A, IMA state secretary, Tamilnadu and IMA representative to the Road map meeting; Rama Kant, Past president, Association of Surgeons of India and ASI representative to the Roadmap meeting; Dhruv Chaudhary, Indian Society of Critical Care Medicine (ISCCM) representative to the Road map meeting; Kumar Prabhash, Indian Society of Medical and Paediatric Oncology representative to the Roadmap meeting (ISMPO);Ram Gopalakrishnan, President, CIDS; Ramasubramanian V, Past Treasurer, CIDS; Rajendrasing Pardeshi, FOGSI (Federation of Obstetrician and Gynecology Society of India) representative to the Roadmap meeting; Arti Kapil, IAMM (Indian Association of Medical microbiology) representative to the Roadmap meeting; Gill JPS, Director, School of Public Health and Zoonoses, GADVASU; Sanjeev Singh, NABH (National Accreditation Board of Hospitals) representative to the Roadmap meeting; Todi S: Panel member of Ministry of Health expert committee Special Task Group on Critical Care; B M Hegde: Former Vice Chancellor, Manipal Academy of Higher Education; Purvish Parikh; Convenor, Indian Cooperative Oncology Network; Dr Girdhar J Gyani, Director General, Association of healthcare providers, India; George K Varghese, Narayana Health, Bangalore; Vipul Patel, ID consultant, Ahmadabad; Atul K Patel, ID Consultant, Vedanta, Ahmedabad; F D Dastur, ID consultant, Hinduja Hospital, Mumbai; Camilla Rodrigues: Consultant Microbiologist, Hinduja, Mumbai; Mahesh M Lakhe, ID consultant, Columbia Asia, Pune; Chand Wattal, Consultant Microbiologist, Gangaram Hospital, Delhi; Nitin Shinde, ID consultant, Wockhardt Hospitals; Mohan Gurjar, Consultant physician and ID, SGPGI, Lucknow; Purnima Parthasarathy, ID consultant, Apollo, Bangalore; Lavanya Nutankalva, ID consultant, Apollo Hyderabad; Suneetha Nareddy, ID consultant, Apollo Hyderabad; Vidya Devarajan, ID consultant, Apollo, Chennai; Zarir F Udwadia, Consultant pulmonologist, Hinduja, Mumbai; Ranganathan Iyer, Consultant Microbiologist, Global Hospital, Bangalore; T V Devarajan, Consultant Physician, Apollo, Chennai; Usha Baveja, Consultant Microbiologist, Medanta, New Delhi; Dhanashree Kelkar-Galwankar, ID consultant, Global Mumbai; Sujoy Kar, Head, Quality and Research, Apollo, Kolkata; Neha Gupta, ID consultant, Medanta, New Delhi; V Balaji, CMC, Microbiologist, Vellore; Shyam Sunder, professor of Medicine, Banaras Hindu University; Vivek Nangia, Pulmonologist, Fortis Lung centre, Delhi; Ratna Rao, microbiologist, Apollo, Hyderabad; Reba Kanungo, past president, IAMM; Rajeev Soman, ID consultant, Hinduja Hospital, Mumbai.





 
 ~ References Top

1.Ghafur A, Mathai D, Muruganathan A, Jayalal JA, Kant R, Chaudhary D, et al. The Chennai Declaration: A roadmap- to tackle the challenge of antimicrobial resistance. Indian J Cancer 2013;50:71-3. Available from: http://www.indianjcancer.com/preprintarticle.asp?id=104065 [Last accessed on 2014 Mar 7].  Back to cited text no. 1
    
2.Voss A, Ghafur A. "The Chennai declaration"-Indian doctors′ fight against antimicrobial resistance. Antimicrob Resist Infect Control 2013;2:7. Available from: http://www.aricjournal.com/content/2/1/7 [Last accessed on 2014 Mar 7].  Back to cited text no. 2
    
3.Ghafur A. The Chennai Declaration′: An Indian perspective on the antimicrobial resistance challenge. J Global Antimicrob Resist 2013:5-6. Available from: http://dx.doi.org/10.1016/j.jgar. 2013.01.003 [Last accessed on 2014 Mar 7].  Back to cited text no. 3
    
4.Holmes AH, Sharland M. The Chennai Declaration: India′s landmark national commitment to antibiotic stewardship demonstrates that ′truth alone triumphs′. J Antimicrob Chemother 2013;68:1453-4.  Back to cited text no. 4
    
5.Hopkins S. Improving antimicrobial stewardship and surveillance: The Chennai Declaration. BMJ 2013;346:f591.  Back to cited text no. 5
[PUBMED]    
6.Ghafur A. The Chennai Declaration: A solution to the antimicrobial resistance problem in Indian subcontinent. Clin Infect Dis 2013;56:1190. Available from: http://dx.doi.org/10.1093/cid/cis1224 [Last accessed on 2014 Mar 7].  Back to cited text no. 6
    
7.Goossens H. The Chennai declaration on antimicrobial resistance in India. Lancet Infect Dis 2013;13:105-6.  Back to cited text no. 7
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8.Mitka M. Indian public health leaders move to reduce antimicrobial resistance. JAMA 2013;309:531-2.  Back to cited text no. 8
[PUBMED]    
9.Ghafur A. Chennai Declaration: An initiative our country could be proud of! Indian J Med Microbiol 2014;32:1-2.  Back to cited text no. 9
    
10.Available from: http://www.nature.com/news/india-moves-to-tackle-antibiotic-resistance-1.11392 [Last accessed on 2014 Mar 7].  Back to cited text no. 10
    
11.Gould IM. ′The Chennai Declaration′: India co-ordinates action against antimicrobial resistance. J Glob Antimicrob Resist 2013;3. Available from: http://linkinghub.elsevier.com/retrieve/pii/S2213716513000106 [Last accessed on 2014 Mar 7].  Back to cited text no. 11
    
12.Directorate General of Health Services, Ministry of Health and Family Welfare: National policy for containment of antimicrobial resistance, India; 2011.  Back to cited text no. 12
    
13.Ministry of Health and Family Welfare notification. The Gazette of India. 441, Part II 3(i), August 30, 2013. Available from: http://www.cdsco.nic.in/588E30 th Aug2013.pdf [Last accessed on 2014 Mar 7].  Back to cited text no. 13
    
14.Davies SC, Fowler T, Watson J, Livermore DM, Walker D. Annual Report of the Chief Medical Officer: Infection and the rise of antimicrobial resistance. Lancet 2013;381:1606-9. Available from: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736 (13) 60604-2/fulltext [Last accessed on 2014 Mar 7].  Back to cited text no. 14
    
15.Ghafur A. Perseverance, persistence, and the Chennai Declaration. Lancet Infect Dis 2013;13:1007-8. Available from: http://dx.doi.org/10.1016/S1473-3099 (13) 70314-1 [Last accessed on 2014 Mar 7].  Back to cited text no. 15
    



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