2019年德国抗生素耐药性负担格局:2019年德国抗生素耐药性负担格局:国家一级比较估计
Tomislav Meštrović1,2,3, Sebastian Haller4, Gisela Robles Aguilar5
1Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
JAC-antimicrobial resistance
|August 18, 2025
概括
2019年,抗菌素耐药性 (AMR) 在德国造成超过4.5万例死亡和75万例DALY. 针对关键病原体和药物组合的有针对性的预防对于应对这一公共卫生挑战至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 抗菌素耐药性 (AMR) 构成了全球健康的重大威胁.
- 了解AMR的负担对于有效的公共卫生干预至关重要.
- 在COVID-19前的数据为评估AMR影响提供了基线.
研究的目的:
- 为提供德国抗药性负担的COVID-19前综合估计.
- 为了确定在德国的AMR的区域差异和热点.
- 分析可归因于AMR的死亡和残疾调整寿命 (DALYs).
主要方法:
- 2019年德国23种细菌病原体和88种病原体药物组合的估计死亡率和DALY.
- 利用了两个反事实情景:与AMR相关的死亡.
- 采用模型准确性和计算不确定性间隔 (UI) 的交叉验证.
主要成果:
- 与AMR相关的总死亡率为45,692例死亡和752,697例DALY.
- 可归因于AMR的死亡率为9,648例死亡和159,032例DALY.
- 主要的病原体包括大肠杆菌,黄金葡萄球菌,菌菌,肺炎菌和假菌.
结论:
- 在德国,AMR是一个严重的公共卫生挑战.
- 高耐药水平需要加强预防和控制措施.
- 针对特定的病原体药物组合是减少AMR负担的关键.
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