Evidence needed for antimicrobial resistance surveillance systems
Evidence needed for antimicrobial resistance surveillance systems
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DOI：
10.2471/blt.18.218917
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发表时间：
2019-04-01
影响因子：
11.1
通讯作者：
Buckeridge, David
中科院分区：
文献类型：
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作者：
Aenishaenslin, Cecile;Hasler, Barbara;Buckeridge, David
科学界和国际组织十多年来一直在促进对抗菌素耐药性的卫生监测。在这篇文章中，我们强调了需要解决的问题，以提高对一个健康监测抗菌素耐药性的有效性的理解。我们还概述了支持计划提高其监测系统一体化水平的国家所需的证据。根据加拿大和其他国家的经验，我们认为，需要更多的努力来了解和衡量一个健康的抗菌素耐药性监测的附加值，并确定最有效的整合策略。迄今为止，制定“一个健康”监测的指导方针主要侧重于应整合的数据类型。然而，可能有必要将“一个健康”的概念应用于数据整合以外的监测任务，以实现该方法的全部价值。考虑到所涉专家和利益攸关方的不同技能和观点，可以加强不同监测活动（数据收集、分析、解释和传播）之间的整合。需要进行更多的研究，以调查一个健康的监测方法可以提高抗菌素耐药性监测的性能，并最终改善健康结果的机制。
One Health surveillance for antimicrobial resistance has been promoted by the scientific community and by international organizations for more than a decade. In this article, we highlight issues that need to be addressed to improve the understanding of the effectiveness of One Health surveillance for antimicrobial resistance. We also outline the evidence needed to support countries planning to increase the level of integration of their surveillance system. Based on experience in Canada and other countries, we argue that more effort is needed to understand and measure the added value of One Health for antimicrobial resistance surveillance and to identify the most effective integration strategies. To date, guidelines for the development of One Health surveillance have focused mainly on the types of data that should be integrated. However, it may be necessary to apply the concept of One Health to surveillance tasks beyond data integration to realize the full value of the approach. Integration can be enhanced across different surveillance activities (data collection, analysis, interpretation and dissemination), taking account of the different skills and perspectives of experts and stakeholders involved. More research is needed to investigate the mechanisms through which a One Health approach to surveillance can increase the performance of antimicrobial resistance surveillance and, ultimately, improve health outcomes.