Yin Jia, Wang Yu, Xu Xueran, Liu Yinqi, Yao Lu, Sun Qiang
Center for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, 44 Wenhuaxi Rd, Jinan 250012, China.
NHC Key Laboratory of Health Economics and Policy Research, Shandong University, 44 Wenhuaxi Rd, Jinan 250012, China.
Antibiotics (Basel). 2021 Nov 6;10(11):1356. doi: 10.3390/antibiotics10111356.
China has great potential for engaging in global actions on antimicrobial resistance (AMR) control. This study aims to summarize the process of global AMR governance and provide relevant policy recommendations on how China could take more initiative in the global AMR governance. We searched for academic articles and official document published or issued before December 2020 in e-journal databases, official websites of major organizations, and the relevant national ministries. This review revealed that global action on AMR control has experienced three stages: (1) The beginning stage (1980s and 1990s) when actions were mainly sponsored by high-income countries and AMR surveillance was focused on hospitals; (2) The rapid development stage (2000-2010) when global AMR governance began to concentrate on joint actions in multi-sectors, and developing countries were gradually involved in global actions; (3) The comprehensive stage (2011 to present) when global actions on AMR have covered various fields in different countries. China's AMR governance has fallen behind at the beginning but recently began to catch up with the global trend. The central government should take a far-fetched view, act decisively and positively towards the global efforts of addressing AMR to play a more active and greater role on the international stage.
中国在参与全球抗微生物药物耐药性（AMR）控制行动方面具有巨大潜力。本研究旨在总结全球AMR治理的进程，并就中国如何在全球AMR治理中更积极主动地发挥作用提供相关政策建议。我们在电子期刊数据库、主要组织的官方网站以及相关国家部委的官方网站上搜索了2020年12月之前发表或发布的学术文章和官方文件。本综述表明，全球AMR控制行动经历了三个阶段：（1）起始阶段（20世纪80年代和90年代），行动主要由高收入国家发起，AMR监测主要集中在医院；（2）快速发展阶段（2000 - 2010年），全球AMR治理开始集中于多部门联合行动，发展中国家逐渐参与全球行动；（3）全面阶段（2011年至今），全球AMR行动已涵盖不同国家的各个领域。中国AMR治理起初落后，但最近开始跟上全球趋势。中央政府应高瞻远瞩，对全球应对AMR的努力果断采取积极行动，在国际舞台上发挥更积极、更大的作用。
