《抗生素耐药:全球监测报告2014》解读与反思

Interspersion and Learning of Antimicrobial Resistance:Global Report on Surveillance 2014 from WHO

目的借鉴世界卫生组织《抗生素耐药:全球监测报告2014》,对我国抗菌药物管理提出合理建议。方法分析世界卫生组织(World Health Organization,WHO)报告和《美国2013年抗生素耐药性威胁》,结合我国相关文献,进行对照分析。结果当下抗生素耐药情况已经非常严峻,社区获得性和医院治病性细菌感染的致病菌耐药和结核、疟疾、HIV和流感等专项疾病耐药形势依旧严峻。我国细菌耐药不容乐观,必须加强管理。WHO和美国疾病防治中心(Centers for Disease Control,CDC)都为应对抗生素耐药提出了相对完备的建议。WHO认为抗生素耐药的形式是严峻的,但还不至于令人绝望。全球应该能够解决该问题并将其控制住。结论中国应当在加强抗菌药物临床应用的严格管控、加强对欠发达地区和基层医疗机构的软硬件与信息建设和提高全社会对抗菌药物严格使用的认同上做工作。

Objective According to the recommendations of Antimicrobial Resistance： Global Report on Surveillance 2014 , some suggestions was given here to antibacterial worship.Methods By interpreting Antimicrobial Resistance： Global Report on Surveillance 2014, Antibiotic Resistance Threats in The United States 2013 and some other re ports from PRC, we contradistinguished and analysed the situation of antibacterial resistance in PRC.Results The situation of antibacterial resistance was hard both in domestic region and world-wide. The community and hospital acquired an tibacterial resistance and the control of tuberculosis, malaria, HIV and influenza were severe. World Health Organization （WHO） and the CDC of USA have also given good advices to deal with the pressing problem. WHO believed that though the situation was harsh, we had the capacity to surmount the big trouble.Conelusiorts We should strengthen the force of antibacterial worship, especially in undeveloped area, by furnishing them enough devices and education to fulfil/the needs of inhibition of antibacterial resistance.