我国抗菌药物管理现状、问题与发展策略  

Current situation,problems and development strategies of antimicrobial stewardship in China

作　　者：赵莉娜 李金漪 李亚芳 张宗久 ZHAO Lina;LI Jinyi;LI Yafang;ZHANG Zongjiu(School of Biomedical Enginee-ring,Tsinghua University,Beijing 100084,China;Office of Discipline Construction,West China Second University Hospital,Sichuan University,Chengdu 610041,China;Institute for Hospital Management,Tsinghua University,Shenzhen 518071,China)

机构地区：[1]清华大学生物医学工程学院,北京100084 [2]四川大学华西第二医院学科建设办公室,四川成都610041 [3]清华大学医院管理研究院,广东深圳518071

出　　处：《中国感染控制杂志》2025年第1期6-14,共9页Chinese Journal of Infection Control

摘　　要：提升抗菌药物科学管理水平是遏制微生物耐药发展与蔓延,维护人民群众身体健康的重要议题。研究概述国内外抗菌药物应用现状,梳理抗菌药物管理历史沿革,厘清当前工作中存在的问题,并提出重视病原检测工作、完善耐药菌感染防控策略、建立多级别服务机制、组成多学科核心团队、健全管理体系等措施,为积极应对细菌耐药带来的挑战提供参考。Enhancing the antimicrobial stewardship level is an important issue in curbing the development and spread of microbial resistance as well as maintaining the health of the people.This study reviews the current situation of antimicrobial application both in China and abroad,sorts out the history of antimicrobial management,finds out the existing problems in the current work,and puts forward measures including attaching importance to pathogen detection,improving the infection control strategy for antimicrobial-resistant organisms,establishing a multile-vel service mechanism,forming a multidisciplinary core team,and perfecting the management system,so as to provide references for actively responding to the challenges posed by antimicrobial resistance.

关 键 词：合理用药管理 抗菌药物 感染控制 发展策略 

分 类 号：R181.32[医药卫生—流行病学]