PDF(Pubmed)
Abstract：
UNASSIGNED: To fully understand the overall system and implementation of antimicrobial stewardship (AMS) at different levels in China, an evaluation according to the integrated AMS evaluation tool developed by World Health Organization (WHO) was conducted.
UNASSIGNED: A comprehensive search on the AMS relevant government policies, regulations, scientific research results, public and social activities was conducted, and the implementation of AMS strategies in national, subnational and hospital level were evaluated by the standards of the WHO.
UNASSIGNED: The results shew that the system construction, technical infrastructure and actions of AMS in China at the national level is relatively satisfied, but the AMS system needs to be further strengthened at the subnational and the medical institutional level, especially the integration of multidisciplinary teams and relevant departments; the implementation of professional intervention strategies, national education and publicity, professional education and training are relatively weak. AMS implementation is mainly promoted at the national level, and AMS in primary medical institutions is almost missing. It is necessary to carry out AMS at the provincial level and medical institutions as soon as possible. The focus is to establish a professional AMS team, prepare AMS guideline, implement AMS strategy, raise public awareness and ensure the long-term and sustainable development of AMS in the country.
UNASSIGNED: The Chinese government has established a system for AMS, and implemented a multisectoral coordinative mechanism. However, at the subnational and district levels, an AMS system and practice should be set up soon to promote the rational use of antibiotics.
UNASSIGNED: A comprehensive search on the AMS relevant government policies, regulations, scientific research results, public and social activities was conducted, and the implementation of AMS strategies in national, subnational and hospital level were evaluated by the standards of the WHO.
UNASSIGNED: The results shew that the system construction, technical infrastructure and actions of AMS in China at the national level is relatively satisfied, but the AMS system needs to be further strengthened at the subnational and the medical institutional level, especially the integration of multidisciplinary teams and relevant departments; the implementation of professional intervention strategies, national education and publicity, professional education and training are relatively weak. AMS implementation is mainly promoted at the national level, and AMS in primary medical institutions is almost missing. It is necessary to carry out AMS at the provincial level and medical institutions as soon as possible. The focus is to establish a professional AMS team, prepare AMS guideline, implement AMS strategy, raise public awareness and ensure the long-term and sustainable development of AMS in the country.
UNASSIGNED: The Chinese government has established a system for AMS, and implemented a multisectoral coordinative mechanism. However, at the subnational and district levels, an AMS system and practice should be set up soon to promote the rational use of antibiotics.
摘要：
■为了充分了解中国不同级别的抗菌药物管理（AMS）的整体系统和实施情况，根据世界卫生组织（WHO）开发的综合AMS评估工具进行了评估。
■全面搜索AMS相关政府政策，法规,科研成果,进行了公共和社会活动，以及在国家实施AMS战略，国家以下级别和医院级别按照WHO的标准进行评估。
■结果表明，系统构建，中国AMS的技术基础设施和行动在国家一级相对满意，但是AMS系统需要在国家以下和医疗机构层面进一步加强，特别是多学科团队和相关部门的整合；实施专业干预策略，国民教育和宣传，专业教育和培训相对薄弱。AMS实施主要是在国家层面推进,基层医疗机构的医疗辅助系统几乎不见了。有必要尽快在省级和医疗机构开展AMS。重点是建立一支专业的AMS团队,准备AMS指南，实施AMS战略，提高公众意识，并确保国家AMS的长期和可持续发展。
■中国政府已经建立了AMS系统，并实施了多部门协调机制。然而,在国家以下和地区一级，应尽快建立AMS系统和实践，以促进合理使用抗生素。
■全面搜索AMS相关政府政策，法规,科研成果,进行了公共和社会活动，以及在国家实施AMS战略，国家以下级别和医院级别按照WHO的标准进行评估。
■结果表明，系统构建，中国AMS的技术基础设施和行动在国家一级相对满意，但是AMS系统需要在国家以下和医疗机构层面进一步加强，特别是多学科团队和相关部门的整合；实施专业干预策略，国民教育和宣传，专业教育和培训相对薄弱。AMS实施主要是在国家层面推进,基层医疗机构的医疗辅助系统几乎不见了。有必要尽快在省级和医疗机构开展AMS。重点是建立一支专业的AMS团队,准备AMS指南，实施AMS战略，提高公众意识，并确保国家AMS的长期和可持续发展。
■中国政府已经建立了AMS系统，并实施了多部门协调机制。然而,在国家以下和地区一级，应尽快建立AMS系统和实践，以促进合理使用抗生素。
