一个健康环境中的抗生素耐药性的综合监测系统:范围审查
Léo Delpy1,2,3, Chloe Clifford Astbury4,5, Cécile Aenishaenslin6,7
1ASTRE, University of Montpellier, CIRAD, INRAE, Montpellier, France.
BMC public health
|June 27, 2024
概括
全球范围内,针对抗生素耐药性 (ABR) 的综合监测系统尚未建立,特别是在低收入国家. 需要进一步的研究来理解和改进这些系统,以制定有效的ABR缓解策略.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 一个健康,一个健康.
背景情况:
- 抗生素耐药性 (ABR) 构成了全球健康的重大威胁.
- 综合监测系统对于做出明智决策来打击ABR至关重要,与"一个健康"概念保持一致.
- 目前缺乏对现有的ABR综合监控模型的全面概述.
研究的目的:
- 进行范围审查,以表征ABR的现有综合监控系统.
- 识别和分析ABR综合监控的组织模型.
主要方法:
- 进行了PRISMA指导的文献综述.
- 14个综合监控系统被确定并使用39个变量进行评估.
- 使用了描述性分析,多重对应分析 (MCA) 和层次集群分析 (HCA).
主要成果:
- 确定了四个不同的集成监控系统集群,在整合水平上有所不同.
- 系统主要在高收入国家运行,结合了人类,动物和环境领域的数据.
- 整合的结果被描述得很差,资源的可用性显著影响了系统的建立.
结论:
- 全球范围内,综合ABR监控尚未得到充分的应用,尤其是在低收入和中等收入国家.
- 目前的监测范围可能不足以全面了解ABR动态.
- 需要进一步的研究来描述整合模式并评估其结果.
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