The problem of antibiotic resistance in Ukraine

Dr. T. Chumachenko, Professor, Head of Epidemiology Department

I. Nesvyzhska, Assistant

Kharkiv National Medical University

Department of Epidemiology

Ukraine

Kharkiv National Medical University (KNMU) Ukraine is one of the oldest higher educational establishments of Ukraine.

is a member of the International Association of Universities, registered under UNESCO;

has 8 Faculties:; these Faculties graduate doctors with the education-qualification level of a Specialist in such specialities as General Medicine, Paediatrics, Preventive Medicine, Stomatology; the Faculty of Postgraduate Training provides continuous development of doctors’ skills during all their professional activity;

has 65 Departments, whose faculty numbers 803 specialists in sciences and pedagogy; of them, there are 130 Doctors of Medical Science, Professors and 446 Candidates of Medical Science, Associate Professors;

trains over 7,000 students, interns, masters, clinical postgraduates, postgraduates and doctoral candidates, more than 2,100 of them being foreign citizens from 70 countries of Europe, Asia, Africa and America;

http://www.knmu.kharkov.ua/

Kharkiv National Medical University (KNMU) Ukraine  has the following personnel potential: 5 corresponding members of the

National Academy of Medical Sciences of Ukraine, 17 Honoured Workers of Science and Engineering of Ukraine, 2 Honoured Workers of Higher School of Ukraine, 8 winners of State Prize of Ukraine in the fields of science and engineering, 13 Honoured Doctors of Ukraine, 28 members of the State and public Academies of Ukraine;

is a modern multi-type educational establishment with its powerful scientific, material and technical basis, which includes: 6 education-research-production units; 2 research institutes, such as the Research Institute of Occupational Hygiene and Occupational Diseases of KhNMU and the Ukrainian Institute of Clinical Genetics of KhNMU; the University Stomatological Centre as the medical-educational-scientific unit of KhNMU; the Scientific-Practical Medical Centre of KhNMU; the Ukrainian Scientific-Practical Medical Centre of Obstetrics, Gynaecology and Reproductology; the Medical College of KhNMU;

http://www.knmu.kharkov.ua/

Kharkiv National Medical University (KNMU) Ukraine  has 44 clinical Departments, where medical work is done by

497 workers of the University (these consist of 96 Professors, 191 Associate Professors and 210 assistants) and 128 doctors of the University clinics, 73 postgraduates, 48 clinical postgraduates and 32 masters; of them, there are 331 medical workers with the highest category, 68 with the first, and 59 with the second;

has 5 specialized academic councils for defending Doctor’s and Candidate’s theses; carries out training of doctors and scientists at such stages as interns, masters, clinical postgraduates, postgraduates and doctoral candidates;

http://www.knmu.kharkov.ua/

Kharkiv National Medical University (KNMU) Ukraine 

•cooperates with 18 foreign institutions•participates in the realization of 16 international projects; 65 of its workers are members of 66 foreign scientific and medical organizations; •has the Central Research Laboratory, 4 problem laboratories, the Educational-Scientific Centre based on classrooms for phantom techniques of education and computerized classrooms, and the Computer Centre; •has the Scientific Library, whose fund comprises over 1 million copies, and 16 computerized classrooms; more than 550 modern computers, video and audio aids are used in the process of trainingetc.

http://www.knmu.kharkov.ua/

Health care system for the control of Antimicrobial Resistance

Ministry of Health Research Institutes Sanitary-epidemiological service Microbiological laboratories of hospitals

Health care system for the control of Antimicrobial Resistance

Ministry of Health

Research institutes

Sanitary-epidemiological service

Microbiological laboratories of hospitals

Antibiotic resistance in Ukraine can be a serious problem, the importance of which is underestimated

In Ukraine antibiotics are sold in pharmacies without a prescription

Antibiotics:• are prescribed by a physician;• are advised by a pharmacist;• are advised by other patients, relatives,

friends, etc.

Antibiotic prescription is regulated by

official documents of the Ministry of Health of Ukraine – “Protocols of medical care…” for some medical specialties (identified major groups of antibiotics, which can be prescribed and duration of their admission)

In addition to official documents the prescription of antibiotics is based on:

physician’s own experiences from practice; experience of their colleagues; information of the medical representatives of

pharmaceutical companies, who advertise and aggressively promote their products.

Monitoring of antibiotic resistance -

for surgical postoperative infections:regulated by Order of the Ministry of Health of Ukraine № 236 dated 04.04.2012;

for obstetric hospitals - by Order of the Ministry of Health of Ukraine №234 dated 10.05.2007

The Orders are not performed in most hospitals because of:

lack of funding; lack of approved methods of microbiological

studies; lack of awareness and interest of physicians

and health care leaders; lack of control of the sanitary-epidemiological

service, which is in the process of reform, etc.

THANK YOU

FOR YOUR ATTENTION!