Use of and microbial resistance to antibiotics in China: a path to reducing antimicrobial resistance.
Use of and microbial resistance to antibiotics in China: a path to reducing antimicrobial resistance.
复制标题
DOI：
10.1177/0300060516686230
复制
发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Sun J
中科院分区：
文献类型：
--
作者：
Cui D;Liu X;Hawkey P;Li H;Wang Q;Mao Z;Sun J
我们分析了中国目前抗生素的使用和微生物耐药性，以及减少抗生素耐药性的可能方法。干预措施，如行政命令在临床环境和教育方法与垂直的方法，而不是一个综合的战略，以遏制使用抗菌药物仍然有限。一个根本问题是激励制度，它加剧了保健专业人员和病人的不当使用。迫切需要探讨对提供者和患者的财务和非财务激励之间的关系，以消除不适当的激励。中国的国家卫生改革创造了一个机会，通过更全面和综合的战略来遏制抗生素的不当使用。遏制微生物耐药性可以通过以下方式实现：加强国家、地区和医院层面的监测;消除卫生系统内的有害激励措施;改变处方行为，采取更广泛的卫生系统方法，以实现长期、公平和可持续的结果，并通过透明的信息共享协调利益攸关方的行动。
We analyzed China’s current use of and microbial resistance to antibiotics, and possible means of reducing antimicrobial resistance. Interventions like executive orders within clinical settings and educational approach with vertical approaches rather than an integrated strategy to curb the use of antimicrobials remain limited. An underlying problem is the system of incentives that has resulted in the intensification of inappropriate use by health professionals and patients. There is an urgent need to explore the relationship between financial and non-financial incentives for providers and patients, to eliminate inappropriate incentives. China’s national health reforms have created an opportunity to contain inappropriate use of antibiotics through more comprehensive and integrated strategies. Containment of microbial resistance may be achieved by strengthening surveillance at national, regional and hospital levels; eliminating detrimental incentives within the health system; and changing prescribing behaviors to a wider health systems approach, to achieve long-term, equitable and sustainable results and coordinate stakeholders’ actions through transparent sharing of information.
登录
查看更多内容
影响因子：
--
作者：
Sun, Jing
通讯作者：
Sun, Jing
影响因子：
3.5
作者：
Dusheiko, Mark;Gravelle, Hugh;Smith, Peter
通讯作者：
Smith, Peter
影响因子：
4.4
作者：
Holloway, Kathleen Anne
通讯作者：
Holloway, Kathleen Anne
影响因子：
5.2
作者：
Liu, Wen'en;Chen, Lamei;Hawkey, Peter M.
通讯作者：
Hawkey, Peter M.
影响因子：
4.6
作者：
Sun, Jing;Shen, Xiao;Dong, Siping
通讯作者：
Dong, Siping