【2014 CID】公共卫生在抗菌药物管理中的作用

蓝鱼o_0

Education, surveillance, and promotion of antimicrobial stewardship align with the goals of public health to prevent disease, promote health, and prolong life. Many US federal and state public health organizations are already engaged in antimicrobial stewardship activities. Healthcare providers are encouraged to work with public health officials on appropriate local antimicrobial stewardship strategies to attain the common goal of reducing antimicrobial resistance and preserving antimicrobials for future generations.

建立一个教育培训，监测，促进抗菌药物管理的联盟，旨在预防疾病，促进健康和延长寿命。

许多美国联邦和州公共卫生服务机构已经参与到了抗菌药物管理活动中。医务工作者被鼓励和卫生行政官员一起协作，优化抗菌药物管理的策略，降低耐药。

蓝鱼o_0

文章还提到公共卫生抗菌药物联盟的十大关键服务：
Antimicrobial Stewardship Aligns With the 10 Essential Services of Public Health
1. Monitor and detect antimicrobial susceptibility patterns and antimicrobial utilization trends at the national, state, regional, and community
levels.
2. Diagnose and investigate concerning patterns and trends in antimicrobial susceptibility across nations, states, regions, and communities.
3. Inform, educate, and empower patients, healthcare providers, and state survey agencies on appropriate antimicrobial use.
4. Partner with community organizations including but not limited to hospitals, long-term-care facilities, healthcare systems, and patient safety
organizations in promoting antimicrobial stewardship strategies across regions, particularly with shared patient populations.
5. Identify best practices and policies in antimicrobial stewardship and share them widely.
6. Advocate for legislation to improve patient safety and protect the public’s health by limiting development of resistant infections.
7. Link healthcare facilities with each other to enhance antimicrobial stewardship across regions.
8. Assure competent antimicrobial stewardship programs in healthcare facilities.
9. Evaluate and improve antimicrobial stewardship programs in healthcare facilities.
10. Research innovative solutions to barriers in antimicrobial stewardship implementation.

可以看到国外公共卫生服务人员，医务工作者，卫生行政人员等在抗菌药物管理中的联动行动。

蓝鱼o_0

这个十大关键服务的出处来自于这里：

http://www.cdc.gov/nphpsp/essentialservices.html
The Public Health System

Public health systems are commonly defined as “all public, private, and voluntary entities that contribute to the delivery of essential public health services within a jurisdiction.” This concept ensures that all entities’ contributions to the health and well-being of the community or state are recognized in assessing the provision of public health services.

The public health system includes

• Public health agencies at state and local levels
• Healthcare providers
• Public safety agencies
• Human service and charity organizations
• Education and youth development organizations
• Recreation and arts-related organizations
• Economic and philanthropic organizations
• Environmental agencies and organizations
  

The 10 Essential Public Health Services

                               
登录/注册后可看大图

   Figure 2: The 10 Essential Public Health Services

The 10 Essential Public Health Services describe the public health activities that all communities should undertake and serve as the framework for the NPHPS instruments. Public health systems should

• Monitor health status to identify and solve community health problems.
• Diagnose and investigate health problems and health hazards in the community.
• Inform, educate, and empower people about health issues.
• Mobilize community partnerships and action to identify and solve health problems.
• Develop policies and plans that support individual and community health efforts.
• Enforce laws and regulations that protect health and ensure safety.
• Link people to needed personal health services and assure the provision of health care when otherwise unavailable.
• Assure competent public and personal health care workforce.
• Evaluate effectiveness, accessibility, and quality of personal and population-based health services.
• Research for new insights and innovative solutions to health problems.
  

水果蔬菜水果

多美国联邦和州公共卫生服务机构已经参与到了抗菌药物管理活动中。医务工作者被鼓励和卫生行政官员一起协作，优化抗菌药物管理的策略，降低耐药。期待促进健康和延长寿命。

jcyyhlb

谢老师的资料，学习了。

tzgengxiuxia

院感人知道不行，要让卫生行政部门的管理者知道并付诸行动才会有效果。我们把抗生素控制严了反而影响医院的收入，领导怎么会支持呢？

感控雏鹰

对公共卫生专业的要求真的很重要！！！！！！！！！！