抗微生物药物滥用/过度使用:不良影响、机制、挑战和对抗耐药性的策略

A. Mittal, R. Bhardwaj, P. Mishra, S. Rajput
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引用次数: 11

摘要

抗生素的过度使用和误用是产生抗生素耐药性的首要危险因素。医护人员专业能力不足可能加重抗生素耐药相关并发症。抗生素耐药性是一个全球性问题;然而,这种不幸的中心是亚洲地区,因为在没有处方或诊断的情况下很容易获得最强的抗生素。抗生素的高效性和易获得性导致过度使用/误用,并促使细菌产生耐药性。抗生素的过度使用和误用是抗生素滥用,对人类健康造成潜在的严重影响。根据世卫组织的指导方针,耐药性已导致在世界范围内蔓延,对耐药性进行分类是一个严重的健康问题。此外,抵抗要求不确定性来预测未来。本文综述了主要抗生素的耐药性、机制、处方剂量与疾病状况的关系,并提出了应对抗生素耐药性相关问题的政策和指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antimicrobials Misuse/Overuse: Adverse Effect, Mechanism, Challenges and Strategies to Combat Resistance
Overuse and misuse of antibiotics are the first risk factors for the development of antibiotics resistance. Inadequate professional competence of health care physicians might worsen the complications associated with antibiotics resistance. Antibiotic resistance is a global issue; however, the epicenter of this misfortune is Asian regions due to the easy accessibility of the strongest antibiotics without prescriptions or diagnoses. High effectiveness and easy accessibility of antibiotics lead to overuse/misuse and encouraging bacteria to develop the resistance. The over-usage and mis-usage of antibiotics are antibiotic abuse, which increase the potentially serious impact on human health. Bestowing to WHO guidelines, the resistance has led to spread worldwide and classifying resistance is a serious health problem. Furthermore, resistance claims uncertainty to predict the future. This review summarizes the major antibiotics involved in drug resistance, mechanism, prescribed dosage with a disease condition, proposed policies and guidelines to combat antibiotic resistance associated problems.
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