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Evidence needed for antimicrobial resistance surveillance systems

机译:抗菌素耐药性监测系统所需的证据

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One Health surveillance for antimicrobial resistance has been promoted by the scientific community and by international organizations for more than a decade. In this article, we highlight issues that need to be addressed to improve the understanding of the effectiveness of One Health surveillance for antimicrobial resistance. We also outline the evidence needed to support countries planning to increase the level of integration of their surveillance system. Based on experience in Canada and other countries, we argue that more effort is needed to understand and measure the added value of One Health for antimicrobial resistance surveillance and to identify the most effective integration strategies. To date, guidelines for the development of One Health surveillance have focused mainly on the types of data that should be integrated. However, it may be necessary to apply the concept of One Health to surveillance tasks beyond data integration to realize the full value of the approach. Integration can be enhanced across different surveillance activities (data collection, analysis, interpretation and dissemination), taking account of the different skills and perspectives of experts and stakeholders involved. More research is needed to investigate the mechanisms through which a One Health approach to surveillance can increase the performance of antimicrobial resistance surveillance and, ultimately, improve health outcomes.
机译:十多年来,科学界和国际组织一直在推动一项针对抗菌素耐药性的健康监测。在本文中,我们重点介绍了需要解决的问题,以增进对“一个健康”监测对抗菌素耐药性有效性的了解。我们还概述了支持国家计划提高其监视系统集成水平所需的证据。根据加拿大和其他国家/地区的经验,我们认为需要更多的努力来了解和衡量One Health在抗菌素耐药性监测方面的附加值,并确定最有效的整合策略。迄今为止,单一健康监测的发展指南主要集中在应整合的数据类型上。但是,可能有必要将“一个健康”的概念应用于数据集成以外的监视任务,以实现该方法的全部价值。考虑到所涉及的专家和利益相关者的不同技能和观点,可以在不同的监视活动(数据收集,分析,解释和分发)中加强集成。需要更多研究来研究一种机制,通过这种机制,单一健康监测方法可以提高抗菌素耐药性监测的性能,并最终改善健康结果。

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