Puerto Rico Antibiotic Resistance Surveillance in Retail Food (PR-ARS)

抗生素耐药性是对全球公共健康的威胁，由于滥用和过度使用 人类和兽医中用于治疗目的的抗生素。国家抗菌药 抵抗监测系统(NARMS)是一个多机构联邦项目，与 公共卫生和学术机构努力监测细菌的抗菌素耐药性 来自人类、零售肉类和食品类动物。我们的目标是与The Food合作 和药品管理局在波多黎各建立一个NARMS站点。波多黎各的抗生素 零售食品耐药性监测(PR-ARS)计划的主要目标是加强， 加强和维持零售食品样本的抗生素耐药性监测，作为 纳尔马斯。该项目的战略涉及四(4)个具体目标：(一)制定和实施 建立监测系统，以加强、加强和维持国家农业资源管理体系；(2)制定实习生方案； (3)与波多黎各卫生部开展合作，建设 微生物耐药性检测和改进外展反应；(4)开展外展 在PY-1第三季度末之前旨在为公共卫生提供支持的计划 在抗生素耐药性及其对食品供应的影响方面，组织和增强社区的能力。 通过这个项目，我们将与宾夕法尼亚州卫生局建立合作关系 以及宾夕法尼亚州立大学，它将作为模范，为 公关-ARS的成功。对来自食品和人类来源的综合基因组数据的分析将 还应加强对肠道细菌耐药性的监测。PR-ARS将生成 零售分离肠道病原菌耐药状况的基线数据 并将向FDA提供关键数据，以进行监管监督，这对 制定政策和改善食品安全。

Antibiotic resistance, a threat to public health worldwide, is exacerbated by misuse and overuse of antibiotics for therapeutic purposes in human and veterinary medicine. National Antimicrobial Resistance Monitoring System (NARMS) is a multi-agency federal program that collaborates with public health and academic institutions in efforts to monitor antimicrobial resistance in bacteria from humans, retail meats, and food-producing animals. Our aim is to collaborate with the Food and Drug Administration to establish a NARMS site in Puerto Rico. The Puerto Rico Antibiotic Resistance Surveillance in Retail Food (PR-ARS) Program’s primary goal is to enhance, strengthen and sustain antibiotic resistance surveillance in retail food specimens as part of NARMS. The strategies of this project address four (4) specific aims: (i) Develop and implement a surveillance system to enhance, strengthen and sustain NARMS; (ii) Develop a trainee program; (iii) Develop a collaboration with the Puerto Rico Department of Health to build capacity for microbial resistance detection and improvement in outreach response; (iv) Develop an outreach program before the end of the third quarter of PY-1 aimed at providing support to public health organizations and empowering communities on antibiotic resistance and its impact on food supply. Through this project, we will establish a collaboration with the Pennsylvania Department of Health and the Pennsylvania State University, which will serve as models and provide training for the success of the PR-ARS. Analyses of integrated genomics data from food and human sources will also enhance surveillance for antimicrobial resistance in enteric bacteria. PR-ARS will generate baseline data about the antimicrobial resistance status of enteric pathogens isolated from retail meats of PR and will provide critical data to FDA for regulatory oversight, which is essential for policy-making and improvements in food safety.