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Antimicrobial stewardship: a Canadian perspective

机译：抗菌管理：加拿大的观点

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摘要

Purpose - The purpose of this paper is to explore the current state of antimicrobial stewardship implementation and development within Canada at both a federal and provincial level. Design/methodology/approach - Narrative review. Findings - There have been several prominent conferences and reports in Canada regarding the development and implementation of antimicrobial stewardship programs over the past two decades. However, despite the knowledge that there is a need for standardization of programs across Canada with accurate mechanisms and infrastructure in place for implementation and evaluation of these programs, there is still a lack of consistency across the country. In addition pharmacy information regarding inpatient and outpatient antimicrobial use is not uniformly reliable. Recently, the Public Health Agency of Canada using the Pan-Canadian Public Health Network as a vehicle organized a task group to help facilitate the working relationships among the provincial, territorial and federal governments in terms of implementing antimicrobial stewardship programs. This network has the potential to enhance and standardize programs across the country. Originality/value - This paper looks at Canadian policy regarding antimicrobial stewardship at a federal as well as provincial level. Historic conferences, reports and discussions are highlighted emphasizing the progressive changes over the past two decades and highlight many of the challenges that Canada continues to face.
机译：目的-本文的目的是在加拿大联邦和省一级探讨抗菌药物管理实施和发展的现状。设计/方法/方法-叙述性评论。调查结果-在过去的二十年中，加拿大举行了几次有关抗菌素管理计划的制定和实施的重要会议和报告。但是，尽管知道需要在整个加拿大标准化计划，并有准确的机制和基础设施来实施和评估这些计划，但全国仍然缺乏一致性。此外，有关住院和门诊抗菌药物使用的药房信息也不是完全可靠的。最近，加拿大公共卫生局使用泛加拿大公共卫生网络作为工具组织了一个任务组，以帮助促进省，地区和联邦政府之间在实施抗菌素管理计划方面的工作关系。该网络有潜力在全国范围内增强和标准化计划。原创性/价值-本文着眼于加拿大有关联邦和省级抗菌药物管理的政策。突出强调了历史性的会议，报告和讨论，强调了过去二十年来的逐步变化，并强调了加拿大继续面临的许多挑战。

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  • 来源
    《Clinical governance》 |2016年第3期|165-179|共15页
  • 作者

    Elissa Rennert-May; John Conly;

  • 作者单位

    Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada and Alberta Health Services, Edmonton, Canada;

    Alberta Health Services, Calgary, Canada and Departments of Medicine, Microbiology, Immunology and Infectious Diseases, and Pathology and Laboratory Medicine, Snyder Institute for Chronic Diseases and O'Brien Institute for Chronic Diseases, Gumming School of Medicine, University of Calgary, Calgary, Canada;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    Policy; Patient safety; Public health; Antimicrobial stewardship;

    机译：政策;患者安全;公共卫生;抗菌管理;

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