Saito Hiroki, Noda Hiroyuki, Takakura Shunji, Jindai Kazuaki, Takahashi McLellan Rieko, Asanuma Kazunari
Infectious Diseases Control Division, Health Service Bureau, Ministry of Health, Labour and Welfare.
Jpn J Infect Dis. 2019 Jan 23;72(1):56-57. doi: 10.7883/yoken.JJID.2018.208. Epub 2018 Aug 31.
Antimicrobial resistance (AMR) is one of the top public health issues in Japan. Since Japan published the national action plan on AMR in 2016, its implementation has been a major focus of the Ministry of Health, Labour and Welfare. The ministry recently published the first edition of its Manual of Antimicrobial Stewardship (including an English version), a narrative review with a particular focus on the outpatient setting of primary care and 2 common infectious disease conditions. This is one of the very few occasions in which the ministry has proactively set out clinical guidance for healthcare delivery at the facility level. Implementation of the manual is further supported by a change in Japan's social health insurance coverage.
抗菌药物耐药性（AMR）是日本最重要的公共卫生问题之一。自日本于2016年发布国家抗菌药物耐药性行动计划以来，该计划的实施一直是厚生劳动省的主要工作重点。该部门最近发布了首版《抗菌药物管理手册》（包括英文版），这是一篇叙述性综述，特别关注基层医疗的门诊环境以及两种常见传染病情况。这是该部门主动为机构层面的医疗服务制定临床指南的极少数情况之一。日本社会医疗保险覆盖范围的变化进一步支持了该手册的实施。
