International Chapters: Latin America

APUA Argentina APUA Bolivia APUA Brazil APUA Chile APUA Colombia APUA Costa Rica APUA Cuba
APUA Dominican Republic APUA Ecuador APUA El Salvador APUA Guatemala APUA Honduras
APUA Mexico APUA Nicaragua APUA Panama APUA Paraguay APUA Peru APUA Uruguay APUA Venezuela

APUA Nicaragua


Antibiotic resistance problems in Nicaragua stem from:

  • Lack of access to appropriate antimicrobial therapy
  • Lack of regulation in human use
  • Lack of regulation in agricultural use
  • Lack of surveillance of antibiotic use and resistance
  • Lack of updated antibiotic use and treatment guidelines
  • Lack of continuing medical education on antibiotic use for prescribers
  • Lack of microbiological lab capacity/lab training/diagnostic tools

These problems challenge the ability to effectively treat infectious diseases that are prevalent in Nicaragua such as tuberculosis, acute respiratory infections, diarrheal diseases, and dengue.


APUA Nicaragua was founded in 2003. Executive committee members are affiliated with Universidad Nacional Autonoma de Nicaragua, Hospital Metropolitano and Hospital Escuela Roberto Calderon.


APUA Nicaragua has conducted research and written guidelines about proper antibiotic use. Chapter members have participated in conferences and symposiums and contributed to practitioner education in medical schools.


Sheyla Silva Bustamante
Maria Mercedes Caceres
Guillermo Porras Cortez
Crisanta Rocha Martinez
Carlos Quant Duran
Sumaya Moreira

Updated May 2011















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