One Health Evaluation of Antimicrobial Use and Resistance Surveillance: A Novel Tool for Evaluating Integrated, One Health Antimicrobial Resistance and Antimicrobial Use Surveillance Programs.
One Health Evaluation of Antimicrobial Use and Resistance Surveillance: A Novel Tool for Evaluating Integrated, One Health Antimicrobial Resistance and Antimicrobial Use Surveillance Programs.
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DOI：
10.3389/fpubh.2021.693703
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发表时间：
2021
影响因子：
5.2
通讯作者：
Otto SJG
中科院分区：
文献类型：
--
作者：
Haworth-Brockman M;Saxinger LM;Miazga-Rodriguez M;Wierzbowski A;Otto SJG
我们描述了我们的新的开发，应用和实用性，一个健康评价抗菌药物的使用和耐药性监测（OHE-AMURS）的工具，我们创建的评估进展，综合，一个健康监测抗菌药物耐药性（AMR）和抗菌药物的使用（AMU）作为一个复杂的系统在加拿大。我们使用显性和隐性知识对AMR/AMU综合监测的政策和计划的现状进行了定性调查。为了评估公共卫生监测项目发展的“混乱”状态，我们综合了国家传染病合作中心和加拿大首席兽医官理事会先前报告的建议;进行了环境扫描，以找到加拿大所有联邦、省和地区的AMR/AMU监测项目;并与加拿大主题专家进行了半结构化访谈。为了整合来自这些不同来源的证据，我们采用了两种已发表的工具来创建一个新的评估矩阵，得出了理想的综合AMR/AMU监测系统的36个组成部分。我们的双向矩阵工具使我们能够检查每个组成部分的可持续发展计划的七个共同的基本要素，并根据矩阵定义为每个组成部分分配一个发展/可持续发展阶段排名。我们的适应性强的新工具允许对复杂监控系统的许多组件进行粒度和可重复的评估。事实证明，评估是可靠和严格的，以确保我们的方法和结果的透明度。该矩阵允许根据程序原则灵活分配程序组件，并且可以调整阶段以评估AMR/AMU监测或其他多方面、多管辖区系统的任何方面。今后的完善应包括对监督组成部分的范围进行评估。
We describe the development, application and utility of our novel, One Health Evaluation of Antimicrobial Use and Resistance Surveillance (OHE-AMURS) tool that we created to evaluate progress toward integrated, One Health surveillance of antimicrobial resistance (AMR) and antimicrobial use (AMU) as a complex system in Canada. We conducted a qualitative inquiry into the current state of policy and programs for integrated AMR/AMU surveillance using explicit and tacit knowledge. To assess the “messy” state of public health surveillance program development, we synthesized recommendations from previous reports by the National Collaborating Centre for Infectious Diseases and the Canadian Council of Chief Veterinary Officers; conducted an environmental scan to find all federal, provincial, and territorial AMR/AMU surveillance programs in Canada; and conducted semi-structured interviews with Canadian subject matter experts. To integrate evidence from these different sources we adapted two published tools to create a new evaluation matrix, deriving 36 components of the ideal integrated AMR/AMU surveillance system. Our two-way matrix tool allowed us to examine seven common, foundational elements of sustainable programs for each component, and assign a stage of development/sustainability ranking for each component according to the matrix definitions. Our adaptable novel tool allowed for granular and repeatable assessment of the many components of a complex surveillance system. The assessment proved robust and exacting to ensure transparency in our methods and results. The matrix allows flexible assignment of program components based on program principles, and stages can be adapted to evaluate any aspect of an AMR/AMU surveillance or other multi-faceted, multi-jurisdictional system. Future refinement should include an assessment of the scope of surveillance components.
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影响因子：
2.8
作者：
Kothari, Anita R.;Bickford, Julia J.;Meyer, Mechthild
通讯作者：
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影响因子：
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作者：
McGill E;Marks D;Er V;Penney T;Petticrew M;Egan M
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影响因子：
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Winkler, David A.
影响因子：
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作者：
Aenishaenslin C;Häsler B;Ravel A;Parmley EJ;Mediouni S;Bennani H;Stärk KDC;Buckeridge DL
通讯作者：
Buckeridge DL
影响因子：
3.2
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Sandberg M;Hesp A;Aenishaenslin C;Bordier M;Bennani H;Bergwerff U;Chantziaras I;De Meneghi D;Ellis-Iversen J;Filippizi ME;Mintiens K;Nielsen LR;Norström M;Tomassone L;van Schaik G;Alban L
通讯作者：
Alban L