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抗菌药物耐药性:简要更新

Antimicrobial resistance: a concise update.

作者信息

Ho Charlotte S, Wong Carlos T H, Aung Thet Tun, Lakshminarayanan Rajamani, Mehta Jodhbir S, Rauz Saaeha, McNally Alan, Kintses Balint, Peacock Sharon J, de la Fuente-Nunez Cesar, Hancock Robert E W, Ting Darren S J

机构信息

Department of Ophthalmology, Western Eye Hospital, London, UK.

Charing Cross Hospital, London, UK.

出版信息

Lancet Microbe. 2025 Jan;6(1):100947. doi: 10.1016/j.lanmic.2024.07.010. Epub 2024 Sep 18.

Abstract

Antimicrobial resistance (AMR) is a serious threat to global public health, with approximately 5 million deaths associated with bacterial AMR in 2019. Tackling AMR requires a multifaceted and cohesive approach that ranges from increased understanding of mechanisms and drivers at the individual and population levels, AMR surveillance, antimicrobial stewardship, improved infection prevention and control measures, and strengthened global policies and funding to development of novel antimicrobial therapeutic strategies. In this rapidly advancing field, this Review provides a concise update on AMR, encompassing epidemiology, evolution, underlying mechanisms (primarily those related to last-line or newer generation of antibiotics), infection prevention and control measures, access to antibiotics, antimicrobial stewardship, AMR surveillance, and emerging non-antibiotic therapeutic approaches. The Review also discusses the potential roles of artificial intelligence in addressing AMR, including antimicrobial susceptibility testing, AMR surveillance, antimicrobial stewardship, diagnosis, and antimicrobial drug discovery and development. This Review highlights the urgent need for addressing the global effects of AMR and for rapid advancement of relevant technology in this dynamic field.

摘要

抗菌药物耐药性(AMR)是对全球公共卫生的严重威胁,2019年约有500万人死于细菌性AMR。应对AMR需要采取多方面且协调一致的方法,范围涵盖从在个体和人群层面增进对机制及驱动因素的理解、AMR监测、抗菌药物管理、改进感染预防与控制措施,到加强全球政策和资金投入以开发新型抗菌治疗策略。在这个快速发展的领域,本综述对AMR进行了简要更新,内容包括流行病学、演变、潜在机制(主要是与最后一线或新一代抗生素相关的机制)、感染预防与控制措施、抗生素获取、抗菌药物管理、AMR监测以及新兴的非抗生素治疗方法。该综述还讨论了人工智能在应对AMR中的潜在作用,包括抗菌药物敏感性测试、AMR监测、抗菌药物管理、诊断以及抗菌药物的发现与开发。本综述强调了应对AMR全球影响以及在这个动态领域快速推进相关技术的迫切需求。

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