(P-463) Comparative Analysis on the Evolution of Antimicrobial Resistance Surveillance and Governance Between China and the United States

Background: Antimicrobial resistance is one of global challenges.

Objectives: This study aimed to compare the development of the antimicrobial resistance surveillance system and the evolution of governance policies between China and the United States.

Methods: Literature review was occupied to collect data on the antimicrobial resistance surveillance system and governance policies between China and the United States from related websites of government department or agencies and international organizations such as WHO, Pubmed and CNKI from 1995 to 2020.

Results: Compared with the United States to China in the antimicrobial resistance surveillance system and related strategies of governance, the main shortcomings of antimicrobial resistance surveillance in China included the followings: a. No involving the county or community level hospital and general population in the current surveillance system; b. No covering antimicrobial resistance surveillance for aquaculture; c. No unique testing standard for antimicrobial resistance; d. No rules on coordinating multi-disciplinary and cross-field monitoring governance; e. No participating in international governance, and etc.

Conclusions: China should improve the antimicrobial resistance surveillance system, make better governance policies, and actively participate in international governance in future.