Evaluating the Integration of One Health in Surveillance Systems for Antimicrobial Use and Resistance: A Conceptual Framework.

Evaluating the Integration of One Health in Surveillance Systems for Antimicrobial Use and Resistance: A Conceptual Framework.
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DOI:
10.3389/fvets.2021.611931
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发表时间:
2021
影响因子:
3.2
通讯作者:
Buckeridge DL
Buckeridge DL
中科院分区:
农林科学2区
文献类型:
--
作者:
Aenishaenslin C;Häsler B;Ravel A;Parmley EJ;Mediouni S;Bennani H;Stärk KDC;Buckeridge DL

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现在人们普遍认为,抗菌素耐药性(AMR)监测必须采用“同一健康”(OH)方法,以成功解决这一全球公共卫生问题对人类、动物和环境构成的重大威胁。虽然存在许多用于评估监测的协议,但将OH方法整合到AMR和抗菌药物使用(AMU)监测系统中的具体方面缺乏通用和可接受的监测和评估功能指南和指标。本文提出了一个概念框架,以评估一体化的OH在监测系统的AMR和AMU,命名为综合监测系统评估框架(ISSE框架)。ISSE框架旨在协助设计总体评价计划的利益攸关方和研究人员选择相关的评价问题和工具。该框架是与加拿大抗生素耐药性监测综合计划(CIPARS)合作开发的。它由五个评估组成部分组成,考虑系统的能力:[1]整合OH方法,[2]产生OH信息和专业知识,[3]产生可操作的知识,[4]影响决策,[5]积极影响结果。对于每个组件,定义了一组评估问题,并显示了指向其他可用评估工具的链接。ISSE框架有助于评估人员系统地评估监测系统的不同OH方面,获得有关这些综合努力的性能和价值的全面信息,并使用评估结果来完善和改进全球AMR和AMU的监测。
It is now widely acknowledged that surveillance of antimicrobial resistance (AMR) must adopt a “One Health” (OH) approach to successfully address the significant threats this global public health issue poses to humans, animals, and the environment. While many protocols exist for the evaluation of surveillance, the specific aspect of the integration of a OH approach into surveillance systems for AMR and antimicrobial Use (AMU), suffers from a lack of common and accepted guidelines and metrics for its monitoring and evaluation functions. This article presents a conceptual framework to evaluate the integration of OH in surveillance systems for AMR and AMU, named the Integrated Surveillance System Evaluation framework (ISSE framework). The ISSE framework aims to assist stakeholders and researchers who design an overall evaluation plan to select the relevant evaluation questions and tools. The framework was developed in partnership with the Canadian Integrated Program for Antimicrobial Resistance Surveillance (CIPARS). It consists of five evaluation components, which consider the capacity of the system to: [1] integrate a OH approach, [2] produce OH information and expertise, [3] generate actionable knowledge, [4] influence decision-making, and [5] positively impact outcomes. For each component, a set of evaluation questions is defined, and links to other available evaluation tools are shown. The ISSE framework helps evaluators to systematically assess the different OH aspects of a surveillance system, to gain comprehensive information on the performance and value of these integrated efforts, and to use the evaluation results to refine and improve the surveillance of AMR and AMU globally.
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