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[微生物监测网络在监测耐药菌方面的重要性。RedMIVA]

[The importance of microbiological surveillance networks in monitoring resistant bacteria. RedMIVA].

作者信息

Muñoz I, Vanaclocha H, González F

机构信息

Area de Epidemiología, Dirección General de Salud Pública de Valencia, C/ Micer Mascó 31, 46010 Valencia.

出版信息

Rev Esp Quimioter. 2007 Jun;20(2):193-202.

Abstract

The increase of the number of antimicrobial resistances is an increasing threat that demands the establishment of a monitoring of the resistance trends by means of systems that facilitate the information like the microbiological surveillance networks. The surveillance resistance system can be active when the strains are analyzed in a reference laboratory or cumulative when microbiology Services asses the antimicrobial susceptibilities of bacterial isolates and summarize on a global report. The microbiological networks allow to realize studies accumulated of a wide number of microorganisms and antimicrobial in a simple way, in real time and coming to details of geographical area delimited by the user. In the Comunitat Valenciana, the Microbiologica surveillance network of the Comunitat Valenciana (RedMIVA) gathers the antibiograms realized in the hospitals of the Comunitat, centralizes the information and spreads the results analyzed to the selected users. The experience has demonstrated that the integration of the hospitals can be initially costly, but once integrated all the hospitals, the yield of the information overcomes the effort of the implementation. By means of simple consultations it is possible to have the information of resistances of the whole Community.

摘要

抗菌耐药性数量的增加是一个日益严重的威胁,这需要通过诸如微生物监测网络等有助于信息传播的系统来建立对耐药趋势的监测。当在参考实验室分析菌株时,监测耐药系统可以是主动的;当微生物学服务部门评估细菌分离株的抗菌敏感性并汇总成一份全球报告时,监测耐药系统可以是累积性的。微生物网络能够以简单的方式、实时地对大量微生物和抗菌药物进行累积研究,并深入到用户划定的地理区域细节。在巴伦西亚自治区,巴伦西亚自治区微生物监测网络(RedMIVA)收集了该自治区各医院所做的药敏试验结果,集中信息并将分析结果传播给选定的用户。经验表明,医院的整合起初可能成本高昂,但一旦所有医院整合完成,信息的产出将超过实施的努力。通过简单的查询就可以获得整个社区的耐药信息。

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