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[卫生部视角下减轻人类医学中抗生素耐药性的策略]

[Strategies for mitigating antibiotic resistance in human medicine from the perspective of the Ministry of Health].

作者信息

Clarici Alexandra

机构信息

Referat 632 "One Health, Antimikrobielle Resistenzen", Bundesministerium für Gesundheit, Mauerstraße 29, 10117, Berlin, Deutschland.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2025 Jun;68(6):593-599. doi: 10.1007/s00103-025-04049-x. Epub 2025 May 5.

DOI:10.1007/s00103-025-04049-x
PMID:40323380
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12129872/
Abstract

Antibiotic resistance (AMR) is increasing worldwide. The complex interrelationships in their development and spread require a bundle of measures and a cross-sectoral approach that considers the One Health approach. The German Antibiotic Resistance Strategy "DART" summarizes the measures for Germany. Building on two predecessor strategies, "DART 2030," which was adopted in 2023, describes the strategic goals to be achieved during its term. It is supplemented by an action plan published in May 2024, which contains specific activities in the six fields of action: prevention, surveillance and monitoring, appropriate use of antibiotics including laboratory diagnostics, communication and cooperation, European and international cooperation, and research and development. Important actions in human medicine include ensuring the availability of recommendations/guidelines on infection prevention and on the diagnosis and treatment of infections, particularly those in which resistance plays a role. The development of expertise in infectiology will be supported and the surveillance of resistance and antibiotic consumption strengthened across all sectors. Proven exchange formats will be continued in order to improve communication within and between sectors. The population's knowledge about infections, their treatment, and the appropriate use of antibiotics will be strengthened.The action plan will be regularly reviewed and updated. This will be linked to reporting, which will also address progress in achieving specific targets for human medicine.

摘要

抗生素耐药性(AMR)在全球范围内不断增加。其发展和传播过程中的复杂相互关系需要一系列措施以及采用跨部门方法,同时要考虑“同一健康”理念。德国抗生素耐药性战略“DART”总结了德国的相关措施。基于两项先前的战略,2023年通过的“DART 2030”阐述了该战略实施期间要实现的战略目标。2024年5月发布的一项行动计划对其进行了补充,该计划包含六个行动领域的具体活动:预防、监测与监控、抗生素的合理使用(包括实验室诊断)、沟通与合作、欧洲及国际合作以及研发。人类医学领域的重要行动包括确保提供关于感染预防以及感染诊断和治疗的建议/指南,特别是那些耐药性起作用的感染。将支持感染病学专业知识的发展,并加强所有部门对耐药性和抗生素消费的监测。将继续采用经过验证的交流形式,以改善部门内部和部门之间的沟通。将增强民众对感染、感染治疗以及抗生素合理使用的了解。该行动计划将定期进行审查和更新。这将与报告工作相联系,报告还将涉及人类医学领域实现具体目标方面的进展情况。

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