建立在抗真菌管理的核心要素:在资源有限的设置有效的抗真菌管理的实用建议。

IF 4.2 2区 医学 Q1 INFECTIOUS DISEASES
Arunaloke Chakrabarti, Rita Oladele, Elizabeth Hermsen, Maria Lavinea Novis de Figueiredo, Patricia Muñoz, Melissa Johnson
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引用次数: 0

摘要

导言:尽管有效的AFS在资源有限的环境中至关重要,但这些环境在特定资源环境的指导和研究方面仍然相对缺乏服务和代表性。因此,有必要进一步将当前AFS最佳实践纳入实际情况并加以应用。涵盖领域:来自不同国家(印度、尼日利亚、西班牙和美国)的主要专家小组聚集在一起,为在资源有限的情况下实际有效地实施AFS提供建议。我们通过资源分层的方法,对疾病控制和预防中心(CDC)的七个核心要素和真菌病研究小组教育和研究联盟(MSGERC)关于资源有限环境下设施的建议进行了调整和背景化。在与设施相关的情况下,根据其背景和各自的资源跨多个维度,设施可以选择优先考虑某些建议,这些建议在实施其他建议之前可能更容易立即采取行动。专家意见:我们建议未来进行研究,以检查我们的建议在资源有限的情况下的功效、成本效益和实用性,使他们能够有效地优先考虑、引导或逐步增加手头的资源能力。应将AFS干预措施整合到一个更大的系统框架内(例如,城市、州、国家、地区、国际),并在机构领导、ID专家、卫生保健工作者、公众、决策者和制药行业之间开展合作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Building upon the core elements of antifungal stewardship: practical recommendations for effective antifungal stewardship in resource-limited settings.

Introduction: Despite the crucial importance of effective AFS in resource-limited settings, such settings remain comparatively underserved and underrepresented in terms of resource-setting-specific guidance and research. Further practical contextualization and application of current AFS best practices is thus necessary.

Areas covered: A panel of leading experts from diverse countries (India, Nigeria, Spain, and the US) was brought together to provide recommendations for practical and effective implementation of AFS in resource-limited settings. We have adapted and contextualized the Centers for Disease Control and Prevention's (CDC) seven core elements and the Mycoses Study Group Education and Research Consortium's (MSGERC) recommendations for facilities in resource-limited settings through a resource-stratified approach. Where relevant to facilities based on their context and respective resources across multiple dimensions, facilities may choose to prioritize certain recommendations that may be more immediately actionable before implementing others.

Expert opinion: We recommend future studies to examine the efficacy, cost-effectiveness, and practicality of our recommendations in resource-limited settings to enable them to effectively prioritize, channel or gradually increase resource capacity at hand. AFS interventions should be integrated within a larger systemic framework (e.g. city, state, national, regional, international) with collaboration among institutional leadership, ID specialists, healthcare workers, public, policymakers, and pharmaceutical industry.

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来源期刊
CiteScore
11.20
自引率
0.00%
发文量
66
审稿时长
4-8 weeks
期刊介绍: Expert Review of Anti-Infective Therapy (ISSN 1478-7210) provides expert reviews on therapeutics and diagnostics in the treatment of infectious disease. Coverage includes antibiotics, drug resistance, drug therapy, infectious disease medicine, antibacterial, antimicrobial, antifungal and antiviral approaches, and diagnostic tests.
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