抗微生物药物耐药性的隐形大流行及其可能的结局
Carolina Rau Steuernagel1, Ida Lillehagen1, Jens Seeberg2
1Centre for Sustainable Healthcare Education (SHE), Sustaint - Sustainable Health Unit, Faculty of Medicine, University of Oslo, Oslo, Norway.
抗菌素耐药性 (AMR) 不仅仅是一个大流行,而且是一个根植于人类实践的复杂问题. 需要改变范式,以了解微生物的适应能力,并促进整合性健康战略.
科学领域:
- 一个健康 一个健康
- 微生物学 微生物学
- 公共卫生政策 公共卫生政策
背景情况:
- 抗微生物药物耐药性 (AMR) 通常被认为是"沉默的流行病",驱动政策的重点是人类对抗微生物药物使用的控制.
- 目前的方法往往将抗药性减少到一个简化的框架,忽视其复杂的起源.
研究的目的:
- 批评AMR的缩小主义"流行病"叙述.
- 倡导理解和解决AMR的范式转变.
- 为管理AMR提出替代策略.
主要方法:
- 对现有的AMR框架进行概念分析和批评.
- 对抗药物耐药性的整体视角的论证.
- 探索有助于AMR的以人类为中心的做法.
主要成果:
- 抗药性源于微生物的适应能力和更广泛的人类做法,而不仅仅是药物暴露.
- 仅仅环境因素不足以解决AMR的问题.
- 现有的控制模式是不够的.
结论:
- 对大规模抗生素使用和生产进行根本性的重新评估至关重要.
- 必须超越流行病模型,探索AMR的复杂性.
- 促进人与微生物之间的协作是整合性健康战略的关键.
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