The WHO AWaRe (Access, Watch, Reserve) antibiotic book

Overview

Antimicrobial resistance (AMR) is a threat to global health and development and it contributes to millions of deaths worldwide each year. Inappropriate use and overuse of antibiotics are driving an increase in AMR and have a detrimental impact on the effectiveness of these critical medicines. Through the Global Action Plan on AMR, WHO is working to improve the surveillance of antimicrobial resistance and reduce inappropriate antibiotic consumption.

There is a recognized need for high-quality resources to improve antibiotic prescribing globally. To address this need, a pragmatic approach was taken by WHO to develop actionable guidance for empiric antibiotic use.

The WHO AWaRe (Access, Watch, Reserve) antibiotic book provides concise, evidence-based guidance on the choice of antibiotic, dose, route of administration, and duration of treatment for more than 30 of the most common clinical infections in children and adults in both primary health care and hospital settings. The information included in the book supports the recommendations for antibiotics listed on the WHO Model Lists of Essential Medicines and Essential Medicines Children and the WHO AWaRe classification of antibiotics.

The WHO AWaRe antibiotic book is accompanied by summary infographics for each infection for both adults and children that provide a quick-reference guide for health care workers at the point of care.

Since 2022, WHO has published new guidelines for the management of several infectious diseases, including:

New WHO guidelineDate published
WHO recommendations for management of serious bacterial infections in infants aged 0-59 daysDecember 2024
Guideline on management of pneumonia and diarrhoea in children up to 10 years of ageDecember 2024
Updated recommendations for the treatment of Neisseria gonorrhoeae, Chlamydia trachomatis, and Treponema pallidum (‎syphilis)‎ and new recommendations on syphilis testing and partner servicesJuly 2024
Recommendations for the treatment of Trichomonas vaginalis, Mycoplasma genitalium, Candida albicans, bacterial vaginosis and human papillomavirus (‎anogenital warts)July 2024
WHO guidelines on meningitis diagnosis, treatment and careApril 2025

The WHO AWaRe antibiotic book is currently being updated to reflect the new guidelines. In the meantime, a summary of the key differences between the WHO AWaRe antibiotic book and the new WHO guidelines is available for:

WHO Team
Access to Medicines and Health Products (MHP), Control and Response Strategies (CSR), Essential Medicines (EML), Health Product Policy and Standards (HPS), Medicines Selection, IP and Affordability (MIA), Surveillance, Prevention and Control (SPC)
Number of pages
697
Reference numbers
ISBN: 978-92-4-006238-2
Copyright