应对东南亚地区抗菌素耐药性的反应
Benyamin Sihombing1, Rajesh Bhatia2, Rahul Srivastava3
1Antimicrobial Resistance Unit, Department of Communicable Diseases, WHO South-East Asia Region, New Delhi, India.
The Lancet regional health. Southeast Asia
|November 29, 2023
概括
抗菌素耐药性 (AMR) 是世卫组织东南亚地区的主要威胁,造成重大损失. 尽管有国家行动计划和世卫组织的支持,但进展和挑战的碎片化阻碍了有效制AMR.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 全球卫生安全 全球卫生安全
背景情况:
- 抗菌素耐药性 (AMR) 构成重大威胁,导致世卫组织东南亚地区 (SEAR) 的11个国家死亡率,发病率和经济损失增加.
- 所有的SEAR国家在世卫组织的技术援助和倡导下,都制定了与全球行动计划一致的AMR国家行动计划.
- 在过去的十年中,世卫组织历来一直从事高级别的政治宣传,并通过各种全球,区域和国家层面的倡议支持加强打击AMR的能力.
研究的目的:
- 评估世卫组织东南亚地区对抗抗菌素耐药性 (AMR) 的进展和挑战.
- 突出国家行动计划和世卫组织倡议对AMR制工作的影响.
- 识别阻碍该地区有效实施抗抗菌药物干预措施的关键障碍.
主要方法:
- 审查国家行动计划和世卫组织在SEAR中与AMR相关的倡议.
- 分析该地区各个国家最近生成的抗菌药物耐药性数据.
- 识别和评估阻碍AMR控制工作的挑战.
主要成果:
- 包括孟加拉国,印度,印度尼西亚,尼泊尔,斯里兰卡和泰国在内的几个国家报告说,尽管意识和行动增加,但药物耐药性的增加令人担忧.
- 最近的抗菌药物耐药性数据显示,该地区的进展分散.
- 有效抗菌药物干预的关键障碍包括技术能力有限,财政资源不足,监管框架薄弱,抗菌药物管理行为变化缓慢以及COVID-19大流行的影响.
结论:
- 尽管有协调一致的努力和世卫组织的支持,但在SEAR中打击抗菌素耐药性仍面临重大障碍.
- 碎片化的进展和持续的挑战需要加强干预和资源配置,以有效地将抗菌素耐药性的影响降到最低.
- 解决监管薄弱,能力缺口和行为改变等问题对于成功制AMR在该地区至关重要.
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