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管理的重要性。

The importance of stewardship.

作者信息

Taylor G

机构信息

Chief Public Health Officer, Public Health Agency of Canada, Ottawa, ON.

出版信息

Can Commun Dis Rep. 2015 Jun 18;41(Suppl 4):3-4. doi: 10.14745/ccdr.v41is4a01.

DOI:10.14745/ccdr.v41is4a01
PMID:29769965
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5868638/
Abstract

Antimicrobial resistance is a growing public health threat that at times may appear to be unsolvable. However, in the last few years, great advances have been made to address this issue in Canada and around the world. Our Federal Action Plan on Antimicrobial Resistance and Use in Canada has identified three pillars to address antimicrobial resistance: surveillance, stewardship and innovation. In this supplement are examples of successful stewardship programs for the community, physicians and health care organizations; there are many more. Given that we know successful stewardship programs are possible, it is important to continue this work across the country. Each success helps and multiple successes can create a synergistic effect that can lead to a change in patient expectations and prescribing patterns. Our antimicrobials are a precious resource. It is well worth the effort to contribute to this synergy and build a culture of stewardship so that antimicrobials will continue to be effective for generations to come.

摘要

抗菌药物耐药性是一个日益严重的公共卫生威胁,有时似乎无法解决。然而,在过去几年里,加拿大和世界各地在解决这一问题方面取得了巨大进展。我们的《加拿大抗菌药物耐药性与使用联邦行动计划》确定了应对抗菌药物耐药性的三大支柱:监测、管理和创新。本增刊列举了针对社区、医生和医疗保健组织的成功管理项目实例;还有更多实例。鉴于我们知道成功的管理项目是可行的,在全国继续这项工作很重要。每一次成功都有帮助,多次成功可以产生协同效应,从而改变患者的期望和处方模式。我们的抗菌药物是一种宝贵资源。为这种协同效应做出贡献并建立一种管理文化是非常值得的努力,这样抗菌药物在未来几代人中仍将继续有效。

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Can Commun Dis Rep. 2016 Nov 3;42(11):223-226. doi: 10.14745/ccdr.v42i11a01.

本文引用的文献

1
Developing and expanding hospital antimicrobial stewardship: The Ontario experience.发展与扩大医院抗菌药物管理:安大略省的经验
Can Commun Dis Rep. 2015 Jun 18;41(Suppl 4):14-18. doi: 10.14745/ccdr.v41is4a04.
2
Summary of the Federal Action Plan on Antimicrobial Resistance and Use in Canada.加拿大抗菌药物耐药性与使用联邦行动计划摘要
Can Commun Dis Rep. 2015 Jun 18;41(Suppl 4):19-22. doi: 10.14745/ccdr.v41is4a05.
3
"Choosing Wisely Canada" and antimicrobial stewardship: A shared focus on reducing unnecessary care.“明智选择加拿大”与抗菌药物管理:共同致力于减少不必要的医疗护理
Can Commun Dis Rep. 2015 Jun 18;41(Suppl 4):9-13. doi: 10.14745/ccdr.v41is4a03.
4
"Do Bugs Need Drugs?" A community education program for the wise use of antibiotics.“细菌需要药物吗?”一项关于明智使用抗生素的社区教育项目。
Can Commun Dis Rep. 2015 Jun 18;41(Suppl 4):5-8. doi: 10.14745/ccdr.v41is4a02.
5
A National Survey of Critical Care Physicians' Knowledge, Attitudes, and Perceptions of Antimicrobial Stewardship Programs.一项关于重症监护医师对抗菌药物管理计划的知识、态度和认知的全国性调查。
J Intensive Care Med. 2016 Jan;31(1):61-5. doi: 10.1177/0885066614541922. Epub 2014 Jul 8.