世界卫生组织《2025年全球抗菌药物耐药性监测报告》解读
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R183;R378

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国家重点研发计划项目(2022YFC2009801、2022YFC2009805);湖南省自然科学基金项目(2025JJ50648)


Interpretation of the World Health Organization Global Antibiotic Resis-tance Surveillance Report 2025
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    摘要:

    抗微生物药物耐药性(AMR)形势严峻。世界卫生组织发布《2025年全球抗菌药物耐药性监测报告》,该报告基于104个国家、逾2 300万例病原学确诊感染数据,采用贝叶斯分层模型评估8种重点病原体和22种抗菌药物在4类临床感染中的耐药现状,并引入监测系统成熟度评分框架以弥补数据不平衡。结果显示,关键病原体(尤其是革兰阴性菌)的耐药性持续上升。临床上常见血流、尿路及胃肠道感染的一线治疗方案有效性正面临日益严峻的耐药性挑战。低收入国家因监测和诊断能力不足,其AMR风险更为突出。本解读概述报告核心发现,为精准防控策略的制定和经验性用药优化提供循证依据。

    Abstract:

    The prevalence of antimicrobial resistance (AMR) remains a critical global health threat. The World Health Organization (WHO) released the Global Antibiotic Resistance Surveillance Report 2025, this report evaluates the resistance landscape of 8 priority pathogens and 22 antimicrobial agents across four categories of clinical infections. Utilizing data from over 23 million bacteriologically confirmed infections across 104 countries, the report employs a Bayesian hierarchical model for assessment and introduces a surveillance system maturity scoring framework to address data disparities. Findings indicate a persistent upward trend in resistance in key pathogens, particularly among Gram-negative bacteria, posing increasingly severe challenges to first-line treatments for bloodstream, urinary tract, and gastrointestinal infections. Low-income countries face heightened AMR risks due to deficiencies in surveillance and diagnostic capacities. This interpretative summary outlines the core findings of the report, providing an evidence-based foundation for precision prevention and control strategies, as well as the optimization of empirical antimicrobial therapy.

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肖园园,吴安华.世界卫生组织《2025年全球抗菌药物耐药性监测报告》解读[J]. 中国感染控制杂志,2026,25(2):167-174. DOI:10.12138/j. issn.1671-9638.20264219.
XIAO Yuanyuan, WU Anhua. Interpretation of the World Health Organization Global Antibiotic Resis-tance Surveillance Report 2025[J]. Chin J Infect Control, 2026,25(2):167-174. DOI:10.12138/j. issn.1671-9638.20264219.

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  • 收稿日期:2026-01-23
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  • 在线发布日期: 2026-03-04
  • 出版日期: 2026-02-28