{"title":"今日不行动,明日无治愈--导致人类面临抗菌药耐药性风险的农业因素及其预防策略综述","authors":"","doi":"10.36283/pjmd12-4/015","DOIUrl":null,"url":null,"abstract":"One of the most significant public health issues today is AMR (AMR), which poses significant difficulties in controlling and treating infectious diseases. It is believed that the abuse and overuse of numerous antibacterial agents in the healthcare and agriculture industries led to the emergence of antimicrobial resistance. Even though irrational prescriptions have been blamed for the rise in resistance among microbes to various antimicrobial drugs, a variety of environmental factors have also been linked to the development of multidrug-resistant (MDR) organisms. Several studies have stressed the significance of using a one-health approach, or a holistic strategy, to combat antibiotic resistance that takes into account people, animals, and the environment. Models describing how resistance starts and spreads could be created with a better understanding of the environmental factors that encourage its development. Yet, preventing the establishment and spread of mobile resistance elements is challenging since it is unclear how and when the environment favors resistance growth. Hence the current review focuses on the agricultural factors predisposing humans to the risk of AMR and preventive strategies.","PeriodicalId":231166,"journal":{"name":"Pakistan Journal of Medicine and Dentistry","volume":"65 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"No Action Today, No Cure Tomorrow - A Review of Agricultural Factors Predisposing Humans at The Risk of Antimicrobial Resistance and Its Preventive Strategies\",\"authors\":\"\",\"doi\":\"10.36283/pjmd12-4/015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"One of the most significant public health issues today is AMR (AMR), which poses significant difficulties in controlling and treating infectious diseases. It is believed that the abuse and overuse of numerous antibacterial agents in the healthcare and agriculture industries led to the emergence of antimicrobial resistance. Even though irrational prescriptions have been blamed for the rise in resistance among microbes to various antimicrobial drugs, a variety of environmental factors have also been linked to the development of multidrug-resistant (MDR) organisms. Several studies have stressed the significance of using a one-health approach, or a holistic strategy, to combat antibiotic resistance that takes into account people, animals, and the environment. Models describing how resistance starts and spreads could be created with a better understanding of the environmental factors that encourage its development. Yet, preventing the establishment and spread of mobile resistance elements is challenging since it is unclear how and when the environment favors resistance growth. Hence the current review focuses on the agricultural factors predisposing humans to the risk of AMR and preventive strategies.\",\"PeriodicalId\":231166,\"journal\":{\"name\":\"Pakistan Journal of Medicine and Dentistry\",\"volume\":\"65 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pakistan Journal of Medicine and Dentistry\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.36283/pjmd12-4/015\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pakistan Journal of Medicine and Dentistry","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36283/pjmd12-4/015","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
当今最重要的公共卫生问题之一是抗菌药物耐药性(AMR),它给控制和治疗传染病带来了巨大困难。人们认为,医疗保健和农业滥用和过度使用大量抗菌剂导致了抗菌药耐药性的出现。尽管不合理的处方被归咎于微生物对各种抗菌药物耐药性的增加,但各种环境因素也与耐多药(MDR)生物的发展有关。一些研究强调,采用综合健康方法或整体战略来对抗抗生素耐药性具有重要意义,这种方法要考虑到人、动物和环境。如果能更好地了解促使抗药性产生的环境因素,就能创建描述抗药性如何开始和传播的模型。然而,由于尚不清楚环境如何以及何时有利于耐药性的产生,因此防止流动性耐药性元素的建立和传播具有挑战性。因此,本综述将重点放在导致人类面临 AMR 风险的农业因素和预防策略上。
No Action Today, No Cure Tomorrow - A Review of Agricultural Factors Predisposing Humans at The Risk of Antimicrobial Resistance and Its Preventive Strategies
One of the most significant public health issues today is AMR (AMR), which poses significant difficulties in controlling and treating infectious diseases. It is believed that the abuse and overuse of numerous antibacterial agents in the healthcare and agriculture industries led to the emergence of antimicrobial resistance. Even though irrational prescriptions have been blamed for the rise in resistance among microbes to various antimicrobial drugs, a variety of environmental factors have also been linked to the development of multidrug-resistant (MDR) organisms. Several studies have stressed the significance of using a one-health approach, or a holistic strategy, to combat antibiotic resistance that takes into account people, animals, and the environment. Models describing how resistance starts and spreads could be created with a better understanding of the environmental factors that encourage its development. Yet, preventing the establishment and spread of mobile resistance elements is challenging since it is unclear how and when the environment favors resistance growth. Hence the current review focuses on the agricultural factors predisposing humans to the risk of AMR and preventive strategies.