亚太地区抗菌素耐药性的挑战:从儿科角度看
Nguyen Xuan Huong1, Michelle Harrison2, Erena Kasahara3
1Phan Chau Trinh University, Vietnam.
Current opinion in pediatrics
|January 30, 2025
概括
抗菌素耐药性 (AMR) 感染对亚太地区的儿童构成重大威胁. 解决这一问题需要更好的医疗保健资源,诊断和当地战略,以制过度使用抗生素.
科学领域:
- 儿童传染病 儿童传染病
- 全球卫生健康 全球卫生健康
- 抗微生物耐药性 (AMR) 流行病学
背景情况:
- 亚太地区有6亿名儿童,面临着与AMR相关的感染引起的高发病率和死亡率.
- 关于该地区儿童多抗药性细菌感染的当前流行病学数据有限且分布不均.
研究的目的:
- 确定关键的驱动因素,挑战和机会,以减轻亚太地区儿童对抗胰岛素耐药性的负担.
- 为减少传染病和抗微生物药物的使用在儿童群体中的战略提供信息.
主要方法:
- 对亚太地区儿童抗菌素耐药性流行病学现有文献的综述.
- 对医疗保健系统因素,抗生素使用模式和疫苗接种范围的分析.
- 识别成功的本地干预措施和实施挑战.
主要成果:
- 该地区面临的挑战包括过度拥挤的医疗保健设施,不足的微生物资源和广泛的抗生素滥用.
- 疫苗覆盖率不足加剧了传染病负担,并进一步推动了儿童过度使用抗生素.
- 有限的公布数据阻碍了对儿科患者抗药性情景的全面了解.
结论:
- 减少抗菌药物耐药性负担需要加强医疗保健资源,改善诊断的准入,以及多学科感染预防和控制战略.
- 当地开发的战略已经在减少过度使用抗生素方面取得了成功,应该在整个地区扩展.
- 解决儿童的抗药性耐药性需要量身定制的,针对特定地区的方法,重点是管理和预防.
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