Division of Infectious Diseases, Veterans' Affairs Ann Arbor Healthcare System and University of Michigan Medical School, Ann Arbor, Michigan.
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Infect Control Hosp Epidemiol. 2020 Dec;41(12):1436-1437. doi: 10.1017/ice.2020.1235.
Antimicrobial resistance is a global and pressing problem that requires large-scale, federal coordination of efforts and tailored local interventions and surveillance. Given the urgency of the threat, many countries now have national policies to reduce inappropriate antimicrobial use. However, few countries have followed this with resources at the institutional level to support the implementation of practices to achieve this goal. In the United States, accreditation bodies such as Centers for Medicare and Medicaid Services and The Joint Commission have added antimicrobial stewardship standards to encourage uptake of antimicrobial stewardship programs (ASPs).
抗菌药物耐药性是一个全球性的紧迫问题,需要大规模的联邦协调努力,并采取有针对性的地方干预和监测措施。鉴于这一威胁的紧迫性,许多国家现在都有减少不合理使用抗菌药物的国家政策。然而,很少有国家在制度层面上提供资源来支持实施实现这一目标的实践。在美国,医疗保险和医疗补助服务中心和联合委员会等认证机构已经增加了抗菌药物管理标准,以鼓励采用抗菌药物管理计划(ASPs)。