1Centre for Global Health, Lee Kong Chian School of Medicine, Nanyang Technological University, 11 Mandalay Road, Singapore, 308232 Singapore.
2Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
Antimicrob Resist Infect Control. 2019 Dec 18;8:202. doi: 10.1186/s13756-019-0654-8. eCollection 2019.
The Asia Pacific region, home to two-thirds of the world's population and ten of the least developed countries, is considered a regional hot-spot for the emergence and spread of antimicrobial resistance (AMR). Despite this, there is a dearth of high-quality regional data on the extent of AMR. Recognising the urgency to close this gap, Singapore organised a meeting to discuss the problems in the region and frame a call for action. Representatives from across the region and beyond attended the meeting on the "Antimicrobial Resistance in the Asia Pacific & its impact on Singapore" held in November 2018. This meeting report is a summary of the discussions on the challenges and progress in surveillance, drivers and levers of AMR emergence, and the promising innovations and technologies that could be used to combat the increasing threat of AMR in the region. Enhanced surveillance and research to provide improved evidence-based strategies and policies are needed. The major themes that emerged for an action plan are working towards a tailored solution for the region by harnessing the One Health approach, enhancing inter-country collaborations, and collaboratively leverage upon new emerging technologies. A regionally coordinated effort that is target-driven, sustainable and builds on a framework facilitating communication and governance will strengthen the fight against AMR in the Asia Pacific region.
亚太地区拥有世界三分之二的人口和十个最不发达国家,被认为是抗菌药物耐药性(AMR)出现和传播的区域热点。尽管如此,该地区关于 AMR 程度的高质量区域数据却十分匮乏。新加坡认识到迫切需要弥合这一差距,于是组织了一次会议,讨论该区域的问题并呼吁采取行动。2018 年 11 月,来自该地区和其他地区的代表参加了关于“亚太地区的抗菌药物耐药性及其对新加坡的影响”的会议。本会议报告概述了关于监测、AMR 出现的驱动因素和杠杆、有希望的创新和技术方面的讨论,这些创新和技术可用于应对该地区日益严重的 AMR 威胁。需要加强监测和研究,提供改进的基于证据的战略和政策。为行动计划确定的主要主题是通过利用“同一健康”方法、加强国家间合作以及共同利用新出现的技术,为该地区制定有针对性的解决方案。目标驱动、可持续和基于促进沟通和治理框架的区域协调努力将加强亚太地区对抗 AMR 的力度。