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一种逐步改进食品和农业领域国家抗菌药物耐药性监测系统的系统方法。

A systematic approach toward progressive improvement of national antimicrobial resistance surveillance systems in food and agriculture sectors.

作者信息

Keck Nicolas, Treilles Michaël, Gordoncillo Mary, Ivette Ouoba Labia Irène, Dauphin Gwenaëlle, Dorado-Garcia Alejandro, Eckford Suzanne, Kabali Emmanuel, Gourlaouen Morgane, Latronico Francesca, Lubroth Juan, Sumption Keith, Song Junxia, Mouillé Béatrice

机构信息

Food and Agriculture Organization of the United Nations (FAO) Headquarters, Rome, Italy.

Emergency Centre for Transboundary Animal Diseases (ECTAD), Regional Office for Asia and the Pacific, Food and Agriculture Organization of the United Nations (FAO), Bangkok, Thailand.

出版信息

Front Vet Sci. 2023 Feb 7;9:1057040. doi: 10.3389/fvets.2022.1057040. eCollection 2022.

DOI:10.3389/fvets.2022.1057040
PMID:36825205
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9941986/
Abstract

The first Food and Agriculture Organization of the United Nations (FAO) Action Plan on antimicrobial resistance (AMR), published in 2016, identified the need to develop capacity for AMR surveillance and monitoring in food and agriculture sectors. As part of this effort, FAO has developed the "Assessment Tool for Laboratories and AMR Surveillance Systems" (FAO-ATLASS) to assist countries in systematically assessing their AMR surveillance system in food and agriculture. FAO-ATLASS includes two different modules for surveillance and laboratory assessment. Each module includes two questionnaires that collect either qualitative or semi-quantitative data to describe and score the performance of national AMR surveillance system data production network, data collection and analysis, governance, communication and overall sustainability in a standardized manner. Based on information captured in the questionnaire by trained assessors (1) tables and figures describing the outputs of the surveillance system are automatically generated (2) a Progressive Improvement Pathway (PIP) stage, ranging from "1-limited" to "5-sustainable", is assigned to each laboratory assessed in the country, each area of the surveillance system and also to the overarching national AMR surveillance system. FAO-ATLASS allows national authorities to implement a strategic stepwise approach to improving their AMR surveillance systems the FAO-ATLASS PIP system and provides an evidence base for actions and advocacy. The implementation of FAO-ATLASS at regional and global levels can contribute to harmonize and better coordinate strategies aimed at implementing an integrated AMR surveillance system under the One Health approach.

摘要

联合国粮食及农业组织(粮农组织)2016年发布的首份抗菌素耐药性行动计划确定了在粮食和农业部门发展抗菌素耐药性监测能力的必要性。作为这项工作的一部分,粮农组织开发了“实验室和抗菌素耐药性监测系统评估工具”(粮农组织-ATLASS),以协助各国系统评估其粮食和农业领域的抗菌素耐药性监测系统。粮农组织-ATLASS包括两个不同的监测和实验室评估模块。每个模块包括两份问卷,用于收集定性或半定量数据,以标准化方式描述和评估国家抗菌素耐药性监测系统的数据生产网络、数据收集与分析、治理、沟通及整体可持续性的表现。根据经过培训的评估人员在问卷中收集的信息,(1)自动生成描述监测系统产出的表格和图表,(2)为该国评估的每个实验室、监测系统的每个领域以及总体国家抗菌素耐药性监测系统分配一个从“1-有限”到“5-可持续”的渐进改进路径(PIP)阶段。粮农组织-ATLASS使国家当局能够采取战略性的逐步方法来改进其抗菌素耐药性监测系统——粮农组织-ATLASS PIP系统,并为行动和宣传提供证据基础。在区域和全球层面实施粮农组织-ATLASS有助于协调和更好地统筹旨在在“同一个健康”方法下实施综合抗菌素耐药性监测系统的战略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdd0/9941986/cf2178ba7e0f/fvets-09-1057040-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdd0/9941986/cf2178ba7e0f/fvets-09-1057040-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fdd0/9941986/cf2178ba7e0f/fvets-09-1057040-g0001.jpg

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