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意大利 GISA 对抗菌药物合理使用和抗菌药物耐药性控制的行动呼吁。

The GISA call to action for the appropriate use of antimicrobials and the control of antimicrobial resistance in Italy.

机构信息

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

出版信息

Int J Antimicrob Agents. 2018 Aug;52(2):127-134. doi: 10.1016/j.ijantimicag.2018.05.010. Epub 2018 May 24.

DOI:10.1016/j.ijantimicag.2018.05.010
PMID:29802887
Abstract

The spread of antibiotic resistance is one of the leading public health problems in Italy. A European Centre for Disease Prevention and Control country visit recently confirmed the major challenges and made important suggestions. In response, the Ministry of Health published the National Plan for Antimicrobial Resistance Containment, and a group of experts belonging to the Italian Group of Antimicrobial Stewardship (GISA) convened to develop a summary of practical recommendations. The GISA document is intended for use by practising physicians; it aims to increase the rational use of antimicrobials in the treatment of infections, and to change the culture of infection control of antibiotic-resistant bacteria, through the translation of theoretical knowledge into priority actions. This document has been endorsed by several national scientific societies, and reflects the particular challenges that are faced in Italy. Nevertheless, it is considered that the general principles and approaches discussed are relevant, particularly to other developed economies.

摘要

抗生素耐药性的传播是意大利主要的公共卫生问题之一。最近,欧洲疾病预防控制中心的一次国家访问证实了主要挑战,并提出了重要建议。对此,意大利卫生部发布了《国家抗菌药物耐药性遏制计划》,隶属于意大利抗菌药物管理集团(GISA)的一组专家召开会议,制定了实用建议摘要。这份 GISA 文件旨在供执业医师使用;其目的是通过将理论知识转化为优先行动,提高抗感染治疗中抗菌药物的合理使用,并改变对抗生素耐药菌感染控制的文化。该文件得到了多个国家科学协会的认可,反映了意大利所面临的特殊挑战。然而,人们认为所讨论的一般原则和方法具有相关性,特别是对于其他发达经济体。

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