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The sixth edition of AMIT Congress continues in the tradition to propose topics of great interest and current importance in Infectious Diseases. Following the philosophy of the Congress, topics are presented to the participants by the international leading specialists. Precision medicine, microbiota and genotypical microbiological diagnostic will be focused in the opening session to better understand their impact in infectious diseases now and in the future. An update of new HAART options, the HIV/HCV co-infections and new antiviral drugs in viral hepatitis, of great importance for the clinician, will be discussed in a specific session.

In Italy, one of the main problems in the epidemiology of infectious diseases is the achievement of data about multidrug-resistant microorganisms. The variability of the different health care settings: hospitals, long-term care facilities, long-term acute care facilities, ambulatory surgical centers, dialysis centers and private practices does not always allow enough available data for a statistical analysis to be obtained. Rational and effective models of infection control to face the spreading of the multidrug-resistant microorganisms in different health care settings will be discussed during the Congress. In a scenario of widespreading resistant microrganisms with little or no sensitivity to antibiotics, the treatment optimization is a challenge of prime importance for the clinician.

Antimicrobial stewardship is the cornerstone for tackling antimicrobial resistance. This, in order to coordinate interventions designed to improve and measure the appropriate use of antimicrobials by promoting the selection of the optimal antimicrobial drug regimen, dose, duration of therapy, and route of administration. Currently, there are no coordinated legislative or regulatory mandates designed to optimize the use of antimicrobial therapy through antimicrobial stewardship programmes.

The role and the involvement of the Infectious Disease Specialist will be increasingly addressed to the transition of care from the acute care settings, where rates of admission are reduced, to the outpatient settings . The Infectious Disease consultation services improve quality-of-care, patient outcomes and antibiotic treatment strategies. This involvement of the Infectious Disease Specialist is essential for improving the healthcare system.