National Antimicrobial Treatment Guidelines 2023

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The Ministry of Health and Population (MoHP) has taken a significant step in healthcare by revising the National Antibiotic Treatment Guideline from 2014 and introducing the revised and updated NationalAntimicrobial Treatment Guideline in 2023. This comprehensive document provides invaluable information to healthcare professionals regarding the rational use of antibiotics for empirical or definitive treatment and various prophylaxes. While the guideline does not cover infections and disease conditions with well established national treatment protocols, it has been meticulously developed based on national surveillance data on Antimicrobial Resistance (AMR), antimicrobial availability, and international guidelines.

Scope of the document
  • This document provides information to healthcare workers on the rational use of antibiotics for empirical or definitive treatment of commonly encountered infections in Nepal, as well as various prophylactic measures. However, it is not exhaustive and excludes infections for which national treatment protocols already exist.
  • This document will be regularly updated as new data becomes available.

Objectives
  • To offer guidance for the optimal use of antimicrobials in various infectious conditions and for prophylactic purposes, taking into account the cumulative antibiogram from National AMR surveillance.
  • To promote the preferential use of antimicrobials from the “Access” group, while ensuring judicious use of those from the “Watch” and “Reserve” groups.







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