Abstract：
The World Health Organization released the practical toolkit for antimicrobial stewardship in health-care facilities in low- and middle-income countries in 2019 due to increasing rates of antimicrobial resistance (AMR) causing the diminishing of treatment options and that the available antibiotics seem to no longer work. The introduction of this toolkit indicates the need to be more down-to-earth in combating the problems of antimicrobial resistance. This situation happened because we have taken antibiotics for granted for too long with less awareness, which results in the potential loss of its use and benefits. On the other hand, even though medicine is available, a major issue on the limited access to antibiotics are still reported in many parts of the world.The problem of antimicrobial resistance extended to the community; the population that is difficult to evaluate. In a hospital setting, patients are expected to be monitored which allows data to be gained easily. The commitment to combat resistance is demonstrated by the Indonesian government through the establishment of the National Committee of Antibiotics mentioned in Permenkes no. 8 (2015) that is located in each hospital and the upscaling of the issues of Antimicrobial Resistance to become one of the national priorities and program.In this issue, Fadrian, et al. conducted a study to measure the quality of antibiotics use at the western part of Indonesia. Every year between 18 to 24 November, we are celebrating the World AMR Awareness Week, with a strong hope to reduce the number of deaths which is at an estimate of 1.27 million people in 2019 who have been presumed to have died as a result to drug resistance.The hope must be followed by a strong commitment and understanding of the risk of overprescribing antibiotics, and if we ignore this, there will be a chance of a 9 times increase in mortality rates which translates to up to an estimate of 10 million deaths per year after 2050.
摘要：
世界卫生组织于2019年发布了低收入和中等收入国家医疗机构抗菌药物管理实用工具包，原因是抗菌素耐药性(AMR)率上升导致治疗选择减少，现有抗生素似乎不再起作用。该工具包的引入表明需要更加脚踏实地地应对抗微生物耐药性问题。发生这种情况是因为我们长期以来一直认为抗生素是理所当然的，但意识不足，这导致其使用和利益的潜在损失。另一方面,即使药物是可用的，在世界许多地方，仍然有关于抗生素获得有限的主要问题的报道。抗菌素耐药性问题扩展到社区；难以评估的人群。在医院里，患者预计将被监测，这使得数据可以很容易地获得。印尼政府通过建立Permenkesno中提到的国家抗生素委员会，证明了对抵抗的承诺。8（2015），位于每家医院和扩大抗菌素耐药性问题成为国家的优先事项和计划之一。在这个问题上，法德良,etal.进行了一项研究，以衡量印度尼西亚西部地区的抗生素使用质量。每年11月18日至24日，我们正在庆祝世界AMR意识周，强烈希望减少死亡人数，据估计，2019年有127万人因耐药性而死亡。希望之后必须坚定地承诺和理解过度开抗生素的风险，如果我们忽略这一点,在2050年之后，死亡率将有可能增加9倍，预计每年将有1000万人死亡。
