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全球抗菌药物管理:关注中低收入国家

Global Antimicrobial Stewardship with a Focus on Low- and Middle-Income Countries.

机构信息

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.

出版信息

Int J Infect Dis. 2020 Jul;96:621-629. doi: 10.1016/j.ijid.2020.05.126. Epub 2020 Jun 4.

DOI:10.1016/j.ijid.2020.05.126
PMID:32505875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7271868/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d11/7271868/5df2b36bb049/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d11/7271868/8ed37125c01e/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d11/7271868/19181f63bc8d/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d11/7271868/e8e0ac88f9f0/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d11/7271868/5df2b36bb049/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d11/7271868/8ed37125c01e/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d11/7271868/19181f63bc8d/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d11/7271868/e8e0ac88f9f0/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d11/7271868/5df2b36bb049/gr4_lrg.jpg

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Involving antimicrobial stewardship programs in COVID-19 response efforts: All hands on deck.让抗菌药物管理计划参与到应对新冠疫情的工作中:全员出动。
Infect Control Hosp Epidemiol. 2020 Jun;41(6):744-745. doi: 10.1017/ice.2020.69.
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Procalcitonin (PCT)-guided antibiotic stewardship in Asia-Pacific countries: adaptation based on an expert consensus meeting.
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Evidence based QUality Improvement for Prescribing Stewardship in ICU (EQUIPS-ICU): protocol for type III hybrid implementation-effectiveness study.重症监护病房处方管理的循证质量改进(EQUIPS-ICU):III型混合实施-效果研究方案
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