Cars Otto, Xiao Yonghong, Stålsby Lundborg Cecilia, Nilsson Lennart E, Shen Jianzhong, Sun Qiang, Bi Zhenqiang, Börjesson Stefan, Greko Christina, Wang Yang, Liu Yuqing, Ottoson Jakob, Li Xuewen, Nilsson Maud, Yin Hong, Bi Zhenwang, Zheng Beiwen, Xia Xi, Chen Baoli, Ding Lilu, Sun Pan, Dyar Oliver James, Hulth Anette, Tomson Göran
Public Health Agency of Sweden, Stockholm, Sweden.
First Affiliated Hospital, College of Medicine, Zhejiang University, China.
One Health. 2016 Sep 17;2:139-143. doi: 10.1016/j.onehlt.2016.09.002. eCollection 2016 Dec.
Antibiotic resistance is a complex global health challenge. The recent Global Action Plan on antimicrobial resistance highlights the importance of adopting One Health approaches that can cross traditional disciplinary boundaries. We report on the early experiences of a multisectoral Sino-Swedish research project that aims to address gaps in our current knowledge and seeks to improve the situation through system-wide interventions. Our research project is investigating antibiotic use and resistance in a rural area of China through a combination of epidemiological, health systems and laboratory investigations. We reflect here on the challenges inherent in conducting long distance cross-disciplinary collaborations, having now completed data and sample collection for a baseline situation analysis. In particular, we recognise the importance of investing in aspects such as effective communication, shared conceptual frameworks and leadership. We suggest that our experiences will be instructive to others planning to develop similar international One Health collaborations.
抗生素耐药性是一项复杂的全球健康挑战。最近的《抗菌药物耐药性全球行动计划》强调了采用能跨越传统学科界限的“同一健康”方法的重要性。我们报告了一个中瑞多部门研究项目的早期经验，该项目旨在填补我们现有知识的空白，并试图通过全系统干预来改善现状。我们的研究项目正在通过流行病学、卫生系统和实验室调查相结合的方式，对中国农村地区的抗生素使用和耐药性进行调查。在现已完成用于基线情况分析的数据和样本收集工作后，我们在此反思进行远程跨学科合作所固有的挑战。特别是，我们认识到在有效沟通、共享概念框架和领导力等方面进行投入的重要性。我们认为，我们的经验将对其他计划开展类似国际“同一健康”合作的人具有指导意义。
