在人道主义环境中的初级医疗保健计划中对抗微生物药物的管理:现在是行动的时候了
Claudia Truppa1,2, Beatriz Alonso3, Kate Clezy4
1International Committee of the Red Cross, Geneva, Switzerland. ctruppa@icrc.org.
Antimicrobial resistance and infection control
|September 4, 2023
概括
在脆弱的环境中,抗菌素耐药性是一个重大挑战. 本文强调需要在冲突地区的初级医疗保健中改善抗生素管理,以对抗耐药性感染.
科学领域:
- 全球健康 全球健康
- 传染性疾病 传染性疾病
- 公共卫生政策 公共卫生政策
背景情况:
- 脆弱和受冲突影响的环境面临着抗菌素耐药性 (AMR) 的高负担,原因是卫生系统薄弱和抗生素管理不善.
- 现有的人道主义努力主要集中在二级和三级护理上,忽视了大多数抗生素被处方的初级医疗保健.
- 医疗保健提供者和用户缺乏知识,加剧了这些脆弱地区的抗菌药物耐药性危机.
研究的目的:
- 介绍人道主义组织在应对AMR方面的经验.
- 制定关于在冲突环境中在初级保健中实施抗菌药物管理的建议.
- 加强全球对弱势群体抗抗药性反应的应对.
主要方法:
- 审查无国界医生和国际红十字会的经验.
- 在脆弱和受冲突影响的环境中进行干预的分析.
- 为初级医疗保健制定实际建议.
主要成果:
- 人道主义组织在打击多抗药性感染方面有经验,主要是在手术护理方面.
- 在这些情况下,在初级医疗保健中实施抗菌药物管理存在差距.
- 在初级保健中成功整合管理,可以显著影响AMR负担.
结论:
- 抗微生物药物管理必须纳入冲突环境中的初级医疗保健标准.
- 扩大对初级保健的管理努力将改善全球AMR应对.
- 在脆弱国家的初级保健中解决AMR对于降低死亡率至关重要.
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