抗菌药耐药性研究中的 "一体健康 "方法文献计量分析

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摘要

背景抗菌素耐药性(AMR)是一种全球性的公共卫生威胁,需要通过 "一体健康 "干预措施采取行动。本研究旨在追溯有关 AMR 的 "一体健康 "研究的历史发展,为未来的研究和行动提供证据支持。方法对从科学网核心数据库(WoSCC)检索到的抗菌素耐药性领域的 "一体健康 "文章(AMR-OH 文章)进行文献计量分析。AMR-OH 文章是指同时涉及人类健康和至少一个其他领域(包括动物、环境或植物)的 AMR 领域文章。根据全球抗击 AMR 行动的发展情况,确定了三个研究时期。结果表明,AMR-OH 文章在所有 AMR 文章中所占比例从 1990 年的 5.21% 增加到 2023 年的 20.01%。当前 AMR-OH 文章的主要话题包括 AMR 的机制、AMR 流行病学和公共卫生控制策略。流行病学研究最初侧重于人类和动物健康,然后在第三个时期转向环境因素。分子层面的研究侧重于 AMR 在各个领域的传播机制,以及抗生素耐药基因 (ARG) 的动态和多样性。共同作者分析表明,第三阶段中低收入国家之间的合作显著增加。此外,基因和分子水平的研究代表了这一领域的前沿,为未来抗击 AMR 提供了创新工具。本研究建议进一步开展研究,将现有研究成果转化为 "一个健康 "战略的实际实施,并支持全球采取一致行动抗击 AMR。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A bibliometric analysis of One Health approach in research on antimicrobial resistance

Background

Antimicrobial resistance (AMR) is a global public health threat that requires actions through One Health intervention. This study aims to trace the historical development of One Health research on AMR to provide evidence supporting future research and actions.

Methods

A bibliometric analysis is conducted with One Health articles in the field of antimicrobial resistance (AMR-OH articles) retrieved from the Web of Science Core Collection (WoSCC). AMR-OH articles refer to articles in the field of AMR that simultaneously involve elements from human health and at least one other domain, including animals, environment, or plants. Three research periods were identified based on the development of global actions in combating AMR. Descriptive analysis of publications, keyword cluster analysis, annual trending topic analysis, and co-authorship analysis were conducted using R software, VOSViewer, and Pajek.

Results

The results indicated that the percentage of AMR-OH articles among all AMR articles increased from 5.21% in 1990 to 20.01% in 2023. Key topics in the current AMR-OH articles included the mechanism of AMR, AMR epidemiology, and public health control strategies. Epidemiological research initially focused on human and animal health and then shifted to environmental factors in the third period. Research at the molecular level focused on the mechanisms of AMR transmission in various domains, along with the dynamics and diversity of antibiotic resistance genes (ARGs). The co-authorship analysis suggested a significant increase in cooperation among low- and middle-income countries in the third period.

Conclusion

The scope of epidemiological research on AMR has expanded by including human, animal, and environmental areas. Moreover, genetic and molecular level research represents the forefront of this field, offering innovative tools to combat AMR in the future. This study suggests further research to translate existing findings into practical implementation of the One Health strategy, and to support globally consistent action in combating AMR.

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