将抗菌素耐药性纳入初级卫生保健主流：国际研讨会报告

International workshop report © World Health Organization 2025Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial- ShareAlike 3.0IGO licence (CCBY-NC-SA3.0IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes,provided the work is appropriately cited, as indicated below. In any use of this work, there should be nosuggestion that WHO endorses any specific organization, products or services. The use of the WHO logo isnot permitted. If you adapt the work, then you must license your work under the same or equivalent CreativeCommons licence. If you create a translation of this work, you should add the following disclaimer along with Any mediation relating to disputes arising under the licence shall be conducted in accordance with themediation rules of the World Intellectual Property Organization (http://www.wipo.int/amc/en/mediation/ Suggested citation. Mainstreaming antimicrobial resistance into primary health care: international workshopreport. Geneva: World Health Organization; 2025. https://doi.org/10.2471/B09572. Licence: CCBY-NC- Cataloguing-in-Publication (CIP) data. CIP data are available at https://iris.who.int/. Sales, rights and licensing. To purchase WHO publications, see https://www.who.int/publications/book-orders. To submit requests for commercial use and queries on rights and licensing, see https://www.who.int/ Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such astables, figures or images, it is your responsibility to determine whether permission is needed for that reuseand to obtain permission from the copyright holder. The risk of claims resulting from infringement of any third- General disclaimers. The designations employed and the presentation of the material in this publication donot imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of anycountry, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. The mention of specific companies or of certain manufacturers’ products does not imply that they areendorsed or recommended by WHO in preference to others of a similar nature that are not mentioned. Errors All reasonable precautions have been taken by WHO to verify the information contained in this publication.However, the published material is being distributed without warranty of any kind, either expressed orimplied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall Contents Abbreviations1 Introduction2 Objectives of the workshop3 Workshop description Abbreviations 1Introduction The Asia-Europe Foundation (ASEF) and theWorld Health Organization (WHO) organized aninternational workshop from 18 to 20 March inBangkok, Thailand, in close collaboration withthe Government of Thailand on mainstreamingantimicrobial resistance (AMR) into primary healthcare (PHC), to discuss the growing challenge of AMRand targeting core AMR interventions to strengthen of integrated health services; (ii) multisectoralpolicy and action; and (iii) empowered people and As part of the PHC-oriented health system, primarycare is the service delivery platform with the corefunction of providing first-contact, accessible,continuous, comprehensive and coordinatedpatient-focused care. Primary care translatesthe principles of PHC into practice, making it Most patient interactions occur in primary care andin the community, where an estimated 80–90% ofantibiotics are prescribed. Effective primary careplays a vital role in improving the management ofinfectious diseases and in reducing overuse and A PHC-oriented health system aims to maximizethe level and distribution of health and well-being through three components: (i) primary care 2Objectives of the workshop oriented policies, plans and strategies.DDescribe AMR interventions and actions relevantfor primary care.DFoster collaboration among stakeholdersto integrate AMR interventions into a PHCapproach. and lessons from country experiences inmainstreaming AMR through PHC-orientedhealth systems. DProvide practical guidance and tools forcountries to identify opportunities to strengthenintegration of AMR interventions into PHC- 3Workshop description framework for PHC-oriented health systems andprovided concrete examples of AMR-relevantinterventions used in PHC-oriented health systemreforms from a review of country case studies.Nienke Bruinsma (WHO) presented the WHO“People-centred approach to addressing AMR andmainstreaming AMR interventions into PHC”, which The workshop utilized various approaches, includingplenary presentations, panel discussions, sitevisits to primary care facilities, and breakout group Day 1began with opening remarks from severaldignitaries, followed by outlining the works