增强抗菌耐药性预防方法:在世卫组织感染,预防,控制的核心组件中,为环境可持续性提供一个案例
Jennifer Collins1, Ana Krause2
1Safeguarding Health through Infection Prevention Research Group, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, G4 0BA, UK.
The Journal of hospital infection
|August 20, 2025
概括
抗微生物耐药性 (AMR) 需要将环境可持续性纳入医院感染预防和控制 (IPC) 中. 一个健康的方法,使用WHO IPC核心组件,可以通过解决环境驱动因素来加速AMR行动.
科学领域:
- 公共卫生 公共卫生
- 环境科学 环境科学
- 传染病控制和控制传染病
背景情况:
- 抗菌素耐药性 (AMR) 是由于抗菌素的滥用和环境污染导致的.
- 目前医疗机构的抗菌药物耐药性策略侧重于管理,忽视了环境因素.
- 需要一个健康的方法来扩大AMR行动在医疗机构.
研究的目的:
- 描述卫生设施如何将环境可持续性纳入抗菌药物抵抗策略.
- 以世界卫生组织 (WHO) 感染,预防和控制 (IPC) 的核心组成部分为基础.
- 提出一个框架,以共同实施"一健康"的方法来应对AMR.
主要方法:
- 进行了关于环境可持续性,IPC和抗菌药物管理的全球文献的快速审查.
- 审查了IPC和环境可持续性的当代指导文件.
- 将当前的做法与世卫组织IPC核心组件中识别的可持续性机会进行比较.
主要成果:
- 关于在卫生机构中实施一种健康方法的AMR,文献有限.
- 在IPC和环境可持续性目标之间发现了重要的重叠.
- 提出了一个理论化的因果关系路径和战略,用于整合WHO IPC核心组件的环境可持续性.
结论:
- 使用One Health方法整合医院IPC和可持续性计划可以加速AMR行动.
- 基于世卫组织IPC核心组件的框架被提议广泛采用.
- 该战略针对医疗保健机构中抗药性环境驱动因素.
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