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医院环境中优化抗生素使用的十大黄金法则:发出 WARNING 行动呼吁。

Ten golden rules for optimal antibiotic use in hospital settings: the WARNING call to action.

出版信息

World J Emerg Surg. 2023 Oct 16;18(1):50. doi: 10.1186/s13017-023-00518-3.

Abstract

Antibiotics are recognized widely for their benefits when used appropriately. However, they are often used inappropriately despite the importance of responsible use within good clinical practice. Effective antibiotic treatment is an essential component of universal healthcare, and it is a global responsibility to ensure appropriate use. Currently, pharmaceutical companies have little incentive to develop new antibiotics due to scientific, regulatory, and financial barriers, further emphasizing the importance of appropriate antibiotic use. To address this issue, the Global Alliance for Infections in Surgery established an international multidisciplinary task force of 295 experts from 115 countries with different backgrounds. The task force developed a position statement called WARNING (Worldwide Antimicrobial Resistance National/International Network Group) aimed at raising awareness of antimicrobial resistance and improving antibiotic prescribing practices worldwide. The statement outlined is 10 axioms, or "golden rules," for the appropriate use of antibiotics that all healthcare workers should consistently adhere in clinical practice.

摘要

抗生素在适当使用时被广泛认可其益处。然而,尽管在良好的临床实践中负责任地使用抗生素非常重要,但抗生素仍常常被不恰当地使用。有效的抗生素治疗是全民医疗保健的重要组成部分,确保合理使用抗生素是全球的共同责任。目前,由于科学、监管和财务方面的障碍,制药公司开发新抗生素的动力不足,这进一步强调了合理使用抗生素的重要性。为了解决这个问题,全球外科感染联盟成立了一个由来自 115 个国家的 295 名具有不同背景的专家组成的国际多学科工作组。该工作组制定了一份立场声明,称为 WARNING(全球抗菌药物耐药性国家/国际网络组织),旨在提高对抗菌药物耐药性的认识并改善全球抗生素处方实践。该声明概述了 10 条适用于抗生素的“黄金法则”,所有医疗保健工作者在临床实践中都应始终坚持这些法则。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a98/10580644/d128c4833d1d/13017_2023_518_Fig1_HTML.jpg

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