Virginia Commonwealth University School of Medicine, Department of Internal Medicine, Division of Infectious Diseases, 1000 E Marshall St. Richmond, VA, USA, 23298.
Thammasart University Hospital, 8 95 Phahonyothin Rd, Khlong Nueng, Khlong Luang District, Pathum Thani 12120.
Int J Infect Dis. 2020 Jul;96:621-629. doi: 10.1016/j.ijid.2020.05.126. Epub 2020 Jun 4.
Antimicrobial resistance is a global public health crisis. Antimicrobial Stewardship involves adopting systematic measures to optimize antimicrobial use, decrease unnecessary antimicrobial exposure and to decrease the emergence and spread of resistance. Low- and middle-income countries (LMICs) face a disproportionate burden of antimicrobial resistance and also face challenges related to resource availability. Although challenges exist, the World Health Organization has created a practical toolkit for developing Antimicrobial Stewardship Programs (ASPs) that will be summarized in this article.
抗菌药物耐药性是全球公共卫生危机。抗菌药物管理涉及采取系统措施来优化抗菌药物的使用，减少不必要的抗菌药物暴露，并减少耐药性的出现和传播。中低收入国家（LMICs）面临着不成比例的抗菌药物耐药性负担，也面临着与资源可用性相关的挑战。尽管存在挑战，但世界卫生组织已经为制定抗菌药物管理计划（ASPs）创建了一个实用工具包，本文将对其进行总结。
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