Antimicrobial resistance in South East Asia: time to ask the right questions.
Antimicrobial resistance in South East Asia: time to ask the right questions.
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DOI：
10.1080/16549716.2018.1483637
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发表时间：
2018
影响因子：
2.6
通讯作者：
Chotinan S
中科院分区：
文献类型：
--
作者：
Kakkar M;Chatterjee P;Chauhan AS;Grace D;Lindahl J;Beeche A;Jing F;Chotinan S
抗生素耐药性（AMR）已成为一个重大的公共卫生问题，国际领导人已围绕这一问题聚集在一起，形成战略伙伴关系和行动计划。AMR出现背后的主要驱动力是由于抗生素消费而产生的选择压力。人类和动物部门的抗生素消费是由决定因素的复杂相互作用驱动的，其中许多是当地环境的典型因素。几个敏感和基本的现实与抗生素消费联系在一起-粮食安全，生计，扶贫，医疗保健和国家经济，仅举几例。因此，考虑到发达国家的情况而制定的“一刀切”政策不适合发展中国家。东南亚地区的许多国家都有一些政策结构来处理抗生素耐药性，但大多数国家缺乏详细的实施计划或监测结构。在目前的辩论中，作者认为，东南亚国家推动AMR议程的原则需要使用当地相关的政策结构来处理。应根据发展中国家的具体情况，而不是临时执行，对成功减轻发达国家抗生素耐药性负担的战略进行评估。《抗生素耐药性全球行动计划》鼓励成员国制定与当地相关的抗生素耐药性国家行动计划。应利用这一政策立场制定和部署与当地有关的战略，这些战略应基于对当地系统的情况分析，并有可能满足个别成员国的需要。
Antimicrobial resistance (AMR) has emerged as a major public health concern, around which the international leadership has come together to form strategic partnerships and action plans. The main driving force behind the emergence of AMR is selection pressure created due to consumption of antibiotics. Consumption of antibiotics in human as well as animal sectors are driven by a complex interplay of determinants, many of which are typical to the local settings. Several sensitive and essential realities are tied with antibiotic consumption – food security, livelihoods, poverty alleviation, healthcare access and national economies, to name a few. That makes one-size-fits-all policies, framed with the developed country context in mind, inappropriate for developing countries. Many countries in the South East Asian Region have some policy structures in place to deal with AMR, but most of them lack detailed implementation plans or monitoring structures. In this current debates piece, the authors argue that the principles driving the AMR agenda in the South East Asian countries need to be dealt with using locally relevant policy structures. Strategies, which have successfully reduced the burden of AMR in the developed countries, should be evaluated in the developing country contexts instead of ad hoc implementation. The Global Action Plan on AMR encourages member states to develop locally relevant National Action Plans on AMR. This policy position should be leveraged to develop and deploy locally relevant strategies, which are based on a situation analysis of the local systems, and are likely to meet the needs of the individual member states.
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影响因子：
168.9
作者：
Holmes, Alison H.;Moore, Luke S. P.;Piddock, Laura J. V.
通讯作者：
Piddock, Laura J. V.
影响因子：
168.9
作者：
Dar, Osman A.;Hasan, Rumina;Heymann, David L.
通讯作者：
Heymann, David L.
影响因子：
56.3
作者：
Liu, Yi-Yun;Wang, Yang;Shen, Jianzhong
通讯作者：
Shen, Jianzhong
减少食用动物中的抗菌剂。
DOI：
10.1126/science.aao1495
发表时间：
2017-09-29
期刊：
Science (New York, N.Y.)
影响因子：
--
作者：
Van Boeckel TP;Glennon EE;Chen D;Gilbert M;Robinson TP;Grenfell BT;Levin SA;Bonhoeffer S;Laxminarayan R
通讯作者：
Laxminarayan R
影响因子：
56.3
作者：
Laxminarayan, Ramanan;Duse, Adriano;Cars, Otto
通讯作者：
Cars, Otto