2.61 The committee recommends that the Commonwealth
establish an independent body or national centre, to develop a strategy, report
publicly on resistance data and measures taken to combat antimicrobial
resistance and to manage the response to antimicrobial resistance in Australia.
2.62 The committee recommends that the independent
body be resourced to implement a rigorous monitoring and reporting regime of
antibiotic use in humans and animals and of multiple drug resistant infections
in humans and animals.
3.75 The committee recommends that the voluntary
reporting of the quantity of antimicrobials sold by volume be made mandatory
for the registrants of antimicrobials.
3.77 The committee recommends that the Australian
Pesticides and Veterinary Medicines Authority:
as a matter of priority, the antibiotic usage report for the period 2005–06 to
antibiotic usage reports on an annual basis and within 18 months of the end of
the relevant financial year.
4.81 The committee recommends that the Australian
Commission on Safety and Quality in Health Care consider mechanisms to improve
coordination and tighten access to antimicrobials in healthcare services,
particularly in relation to any new antimicrobials that become available.
4.83 The committee recommends that the Department
of Health and Ageing investigate additional mechanisms to improve antibiotic
stewardship in general practice.
4.86 The committee recommends that consideration be
given to banning all antibiotics listed as 'critically important in human
medicine' by the World Health Organisation for use in animals in Australia.
5.58 The committee recommends that Australian
Commission on Safety and Quality in Health Care coordinate the development of a
national system of enhanced infection control including minimum hospital
inpatient infection control standards, and standards for community health
practices and aged care facilities.
5.60 The committee further recommends that the
Commonwealth consider further support for research and development in infection
control in farmed animals with the goal of reducing the need for the use of
antibiotics in agriculture, taking into account the costs and impacts of
proposed measures on animal health and farming practices.
6.46 The committee recommends that the Commonwealth
consider measures to support research into strategies to deal with
antimicrobial resistance, including research into new antibiotics and
consideration of antimicrobial resistance being designated a National Research
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