A review on the crisis of antibiotic resistance and the strategies to combat resistance

S. Niveda, O. M. F. Rahiman, P. K. Sreenadh, M. L. L. Prasanth
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Abstract

The discovery of antibiotics has caused a huge impact on the history of the entire health-care system. The irrational and excessive use of antibiotics has become futile and has given rise to another serious issue known as antibiotic resistance, which is now a threat to the health-care sector. Due to this, millions of deaths are occurring worldwide every year as infections are becoming difficult to treat as a result of resistance to the antibiotics that are used to treat them. Thus, the confidence of the global health-care system is ruined. The WHO has recognized antibiotic resistance as a serious issue that needs to be addressed and has declared tackling it a high priority. Even though complete eradication of antibiotic resistance is not possible, the spread and the incidence of resistance can be reduced by taking adequate measures. Combating antimicrobial resistance is, therefore, a prime need of the and various strategies have been adopted globally. This article primarily focuses on the phenomenon of antibiotic resistance, the mechanisms of resistance, various reasons that contribute to it, and the strategies adopted to combat the global crisis. Here, we have reviewed articles on antibiotic resistance from scientific websites such as PubMed Central, NCBI, Science Direct, and Google Scholar, and the strategies have been taken from the official website of the WHO, Indian Council of Medical Research, and the guidelines issued on this by the Ministry of Health and Family Welfare Government of India and Government of Kerala.
抗生素耐药性危机及应对策略综述
抗生素的发现对整个医疗保健系统的历史产生了巨大影响。抗生素的不合理和过度使用已变得徒劳无益,并引发了另一个严重问题,即抗生素耐药性,目前已对医疗保健领域构成威胁。由于对用于治疗感染的抗生素产生抗药性,感染变得难以治疗,全世界每年有数百万人因此而死亡。因此,全球医疗保健系统的信心受到了破坏。世卫组织已认识到抗生素耐药性是一个亟待解决的严重问题,并已宣布将解决这一问题列为高度优先事项。尽管不可能完全根除抗生素耐药性,但可以通过采取适当措施减少耐药性的传播和发生。因此,应对抗菌药耐药性是当务之急,全球已采取了各种战略。本文主要关注抗生素耐药性现象、耐药性产生的机制、导致耐药性产生的各种原因以及应对全球危机所采取的策略。在此,我们从 PubMed Central、NCBI、Science Direct 和 Google Scholar 等科学网站上查阅了有关抗生素耐药性的文章,并从世界卫生组织官方网站、印度医学研究理事会以及印度政府卫生与家庭福利部和喀拉拉邦政府发布的相关指南中选取了相关策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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