全球抗生素耐药性的决定因素跨药物-细菌对的动态:使用ATLAS的多变量时空分析
Eve Rahbe1, Laurence Watier1, Didier Guillemot1
1Epidemiology and Modelling of Antimicrobials Evasion Research Unit, Institut Pasteur, Paris, France; Université de Versailles Saint-Quentin-en-Yvelines, INSERM, Centre de Recherche en Epidémiologie et Santé des Populations, Anti-infective evasion and pharmacoepidemiology Research Team, Universiteé Paris-Saclay Montigny-Le-Bretonneux, France; Université Paris Cité, Paris, France.
The Lancet. Planetary health
|July 12, 2023
概括
抗生素耐药性 (ABR) 在全球范围内有所不同. 主要驱动因素包括抗生素销售和卫生系统质量,但仍有无法解释的因素,需要针对细菌耐药性的定制干预措施.
科学领域:
- 全球卫生健康 全球卫生健康
- 传染性疾病 传染性疾病
- 微生物学 微生物学
背景情况:
- 抗生素耐药性 (ABR) 是一个关键的全球健康威胁.
- 了解ABR的出现和传播对于解决其异质性至关重要.
- 识别ABR驱动因素对于有效的公共卫生战略至关重要.
研究的目的:
- 分析ABR的空间和时间模式.
- 调查与不同国家和药物-细菌对的ABR率相关的因素.
- 了解ABR出现和传播中的异质性.
主要方法:
- 对来自51个国家 (2006-2019) 的13种药物-细菌对的临床隔离品计数数据的分析.
- 利用混合效应负二项式模型来评估与司机的关联.
- 包括抗生素销售,经济,健康,气象,人口和旅游数据.
主要成果:
- ABR模式显示出显著的国家和药物-细菌对依赖.
- 碳烯胺耐药性在60%以上的国家增加;对其他国家没有全球趋势.
- 与抗生素销售 (特定对),温度和卫生系统质量相关的ABR.
结论:
- 这些发现突出了推动全球ABR的多种机制.
- 强调需要针对病原体特定的,定制的干预措施.
- 无法解释的空间差异表明需要对ABR驱动器进行进一步研究.
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