挪威抗菌药物管理经验及对我国的启示
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篇名: 挪威抗菌药物管理经验及对我国的启示
TITLE:
摘要: 目的:为完善我国抗菌药物管理提供参考。方法:介绍挪威抗菌药物使用概况,分析挪威政府及相关行业组织在抗菌药物管理方面的经验,并提出完善我国抗菌药物管理的思考和建议。结果与结论:为应对潜在的耐药威胁、加强抗菌药物使用管理,挪威政府制定了抗菌药耐药国家行动计划,建立了全面的抗菌药物(包括兽用)使用管理监测体系和研究合作平台,科学制定行业指南,严格规范医师处方行为,取得了良好的管控效果。我国应借鉴挪威等国家的经验,持续健全抗菌药物管理顶层制度设计,加快实现抗菌药物监测的全面覆盖,不断完善监测和评价指标体系建设,重新评估抗菌药用药结构,提升社会各方合理用药意识,在科学证据的基础上谨慎合理使用抗菌药物,以应对耐药威胁。
ABSTRACT: OBJECTIVE: To provide reference for antibiotics management in China. METHODS: The current situation of antibiotics use in Norway was reviewed and the experiences of antibiotics management in Norway and relevant industrial organization were analyzed; thinking and suggestions for improving antibiotics management in China were put forward. RESULTS & CONCLUSIONS: To deal with potential drug resistance and strengthen antibiotics management, the government of Norway formulated national action plan for antibiotics resistance, established comprehensive management and monitoring system for antibiotis (including veterinary antibiots), research and cooperative platform, formulated guidance scientifically, and standardized prescribing behavior to obtain good management and control effect. China needs to learn from Norway and other countries to continuously strengthen the top-level design of antibiotics management, speed up the comprehensive coverage of antibiotics monitoring, improve the construction of monitoring and evaluation indicator system, evaluate the structure of antibiotics use again, promote the consciousness of all social parties to rational drug use, and use antibiotics rationally and cautiously on the basis of scientific evidence, so as to deal with the threat of drug resistance.
期刊: 2018年第29卷第10期
作者: 宋捷,林海,胡晓静,蒋璐伊,金春林
AUTHORS: SONG Jie,LIN Hai,HU Xiaojing,JIANG Luyi,JIN Chunlin
关键字: 抗菌药物管理;耐药;挪威;合理用药;启示
KEYWORDS: Antibiotics management; Drug resistance; Norway; Rational drug use; Enlightenment
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