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制定人类健康领域抗菌药物耐药性全球优先研究议程:范围综述方案。

Developing a priority global research agenda for antimicrobial resistance in the human health sector: protocol for a scoping review.

机构信息

Eijkman-Oxford Clinical Research Unit, Jakarta, Indonesia.

Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, University of Oxford, Oxford, UK.

出版信息

BMJ Open. 2022 Jun 2;12(6):e060553. doi: 10.1136/bmjopen-2021-060553.

Abstract

INTRODUCTION

To accelerate the response to the public health threat by antimicrobial resistance (AMR), the WHO is developing a Global Research Agenda for AMR in the human health sector that aims to provide a global and transparent assessment of priority knowledge gaps related to critical bacteria-including and fungi that inform control and response strategies to tackle AMR by 2030. A literature scoping review represents the first phase in a stepwise process, and we hereby outline the protocol to review current knowledge gaps and research questions on AMR in the human health sector.

METHODS AND ANALYSIS

This literature scoping review will follow the Arksey and O'Malley (2005) methodology and will include: (1) a hand search to identify relevant WHO guidelines and documents suggested by the WHO Steering Group for the AMR Global Research Agenda; (2) a grey literature search through a stakeholder mapping process and google searches of organisational websites; (3) a systematic search of relevant systematic reviews through bibliographic databases (PubMed, Embase and Web of Science); (4) screening of the reference lists of included studies. We will include relevant publications from the last 10 years (January 2012 to December 2021). Two researchers separately will review the yielded citations to determine eligibility based on predefined criteria. Relevant research questions with attributes will be extracted using a tool developed through an iterative process by the research team. Each identified research question will be classified and aggregated according to a conceptual framework (ie, 'knowledge matrix'), composed of three themes (ie, Prevention, Diagnosis and Care & Treatment) and four cross-cutting domains (ie, Descriptive, Discovery, Development, Delivery). We will present numerical and thematic summaries of the knowledge matrix. A qualitative content analysis is out of the scope of this protocol.

ETHICS AND DISSEMINATION

The scoping review process will only involve identification, selection and analysis of documents available for use in the public domain, and will not include any personal information on individuals, therefore ethical approval is not required. The findings will be disseminated through a peer-reviewed publication and stakeholder meetings.

摘要

简介

为了应对抗菌药物耐药性(AMR)对公共卫生的威胁,世卫组织正在制定一项人类健康部门抗菌药物耐药性全球研究议程,旨在对与关键细菌(包括真菌)相关的优先知识空白进行全球和透明评估,这些细菌和真菌为 2030 年前制定控制和应对 AMR 的策略提供信息。文献范围界定审查是逐步过程的第一阶段,本研究即概述了审查人类健康部门 AMR 现有知识空白和研究问题的方案。

方法和分析

本文献范围界定审查将遵循阿斯基和奥马利(2005 年)的方法,并包括:(1)人工搜索以确定世卫组织指导小组建议的与 AMR 全球研究议程相关的世卫组织指南和文件;(2)通过利益攸关方绘图和谷歌对组织网站进行的灰色文献搜索;(3)通过文献数据库(PubMed、Embase 和 Web of Science)对相关系统评价进行系统搜索;(4)筛选纳入研究的参考文献列表。我们将纳入过去 10 年(2012 年 1 月至 2021 年 12 月)的相关出版物。两名研究人员将分别根据预定义标准审查产生的引用,以确定其是否符合纳入标准。将使用研究小组通过迭代过程开发的工具提取具有属性的相关研究问题。将根据由三个主题(即预防、诊断和护理与治疗)和四个跨领域领域(即描述、发现、开发和交付)组成的概念框架对每个确定的研究问题进行分类和汇总。我们将展示知识矩阵的数值和主题摘要。本方案不包括定性内容分析。

伦理和传播

范围界定审查过程仅涉及识别、选择和分析可在公共领域使用的文件,不包括个人的任何个人信息,因此不需要伦理批准。研究结果将通过同行评议的出版物和利益攸关方会议进行传播。

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Guidance for conducting systematic scoping reviews.进行系统范围综述的指南。
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Antibiotic resistance-the need for global solutions.抗生素耐药性——全球解决方案的必要性。
Lancet Infect Dis. 2013 Dec;13(12):1057-98. doi: 10.1016/S1473-3099(13)70318-9. Epub 2013 Nov 17.
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Scoping studies: advancing the methodology.范围研究:方法学的推进。
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