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抗菌药物耐药性是一场正在缓慢显现的灾难吗?

Is Antimicrobial Resistance a Slowly Emerging Disaster?

作者信息

Viens A M, Littmann Jasper

机构信息

Southampton Law School, University of Southampton.

Institute of Experimental Medicine, Christian-Albrechts University Kiel.

出版信息

Public Health Ethics. 2015 Nov;8(3):255-265. doi: 10.1093/phe/phv015. Epub 2015 Jun 30.

DOI:10.1093/phe/phv015
PMID:26566396
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4638061/
Abstract

The problem of antimicrobial resistance is so dire that people are predicting that the era of antibiotics may be coming to an end, ushering in a 'post-antibiotic' era. A comprehensive policy response is therefore urgently needed. A part of this response will require framing the problem in such a way that adequately reflects its nature as well as encompassing an approach that has the best prospect of success. This paper considers framing the problem as a slowly emerging disaster, including its potential benefits and difficulties, from a conceptual and policy perspective.

摘要

抗菌耐药性问题十分严峻,以至于人们预测抗生素时代可能即将结束,从而迎来一个“后抗生素”时代。因此,迫切需要出台全面的政策应对措施。这种应对措施的一部分将要求以一种能够充分反映问题本质并包含最具成功前景方法的方式来界定该问题。本文从概念和政策角度考虑将该问题界定为一场缓慢浮现的灾难,包括其潜在益处和困难。

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本文引用的文献

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An international legal framework to address antimicrobial resistance.应对抗菌药物耐药性的国际法律框架。
Bull World Health Organ. 2015 Feb 1;93(2):66. doi: 10.2471/BLT.15.152710.
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Antibiotic resistance--problems, progress, and prospects.抗生素耐药性——问题、进展与前景
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Prevention is better than cure for emerging infectious diseases.对于新发传染病,预防胜于治疗。
BMJ. 2014 Feb 21;348:g1499. doi: 10.1136/bmj.g1499.
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The rise of food poverty in the UK.英国食品贫困问题的加剧。
BMJ. 2013 Dec 3;347:f7157. doi: 10.1136/bmj.f7157.
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Antibiotic resistance-the need for global solutions.抗生素耐药性——全球解决方案的必要性。
Lancet Infect Dis. 2013 Dec;13(12):1057-98. doi: 10.1016/S1473-3099(13)70318-9. Epub 2013 Nov 17.
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The true cost of antimicrobial resistance.抗菌药物耐药性的真实代价。
BMJ. 2013 Mar 11;346:f1493. doi: 10.1136/bmj.f1493.
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Obesity: chasing an elusive epidemic.肥胖:追逐一个难以捉摸的流行疾病。
Hastings Cent Rep. 2013 Jan-Feb;43(1):34-40. doi: 10.1002/hast.114. Epub 2012 Dec 18.
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Challenges of drug resistance in the developing world.发展中世界的耐药性挑战。
BMJ. 2012 Apr 3;344:e1567. doi: 10.1136/bmj.e1567.
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Constraining the use of antibiotics: applying Scanlon's contractualism.限制抗生素的使用:运用斯坎伦的契约论。
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