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Published on: January 12, 2018
Prevalence, consequences, and solutions
Dennis G Maki1, Nasia Safdar, Steven C Ebert
1Section of Infectious Diseases, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. dgmaki@medicine.wisc.edu
Abstract:
Since the early development of antibiotics, antimicrobial resistance has continued to emerge as a formidable adversary in the fight against infectious disease. Once an issue confined to hospitals, antibiotic resistance has now invaded communities, targeting not only the immunocompromised patient, but also those who are immunocompetent. To stem this crisis, researchers have developed more powerful and more costly antibiotics, which have only complicated the resistance problem. Education of the patient and the prescriber, as well as antimicrobial stewardship programs, are necessary to avert a global antibiotic resistance catastrophe.
Insights
Antimicrobial resistance is a growing global threat, spreading from hospitals to communities. Combating this requires patient and prescriber education and antimicrobial stewardship.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Antimicrobial resistance (AMR) has escalated since antibiotic discovery.
- AMR is no longer confined to healthcare settings, impacting community health.
- Emergence of resistance complicates treatment and necessitates new strategies.
Purpose of the Study:
- To highlight the growing threat of antimicrobial resistance.
- To discuss the limitations of developing new antibiotics.
- To emphasize the need for non-pharmacological interventions.
Main Methods:
- Literature review on antimicrobial resistance trends.
- Analysis of the impact of antibiotic use in hospital and community settings.
- Evaluation of current strategies to combat resistance.
Main Results:
- Antimicrobial resistance is a widespread and increasing problem.
- Newer, more expensive antibiotics have not solved the resistance issue.
- Community-acquired infections are increasingly resistant to standard treatments.
Conclusions:
- Patient and prescriber education are crucial for antimicrobial stewardship.
- Implementing robust antimicrobial stewardship programs is essential.
- A global approach is needed to avert an antimicrobial resistance catastrophe.
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