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Updated: Jun 27, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
[Antibiotic use in Mexico: review of problems and policies]
Anahí Dreser1, Veronika J Wirtz, Kitty K Corbett
1Health Services Research Unit, London School of Hygiene and Tropical Medicine, Reino Unido.
Abstract:
The inappropriate use of antibiotics signifies a risk for individual health and a waste of health resources. It triggers the development of antibiotic resistance, which increases expenditures and mortality related to infectious disease, and is hence considered a serious public health problem. The World Health Organization has thus recommended a series of strategies to be included within national pharmaceutical policies. In Mexico, diverse factors related to the inappropriate use of antibiotics have been documented. While the response has been mainly in the form of educational and managerial interventions directed toward physicians in public health services, as well as epidemiological surveillance, there is a paucity of research and interventions focused on consumers, pharmacies, and the private sector. Fundamentally, a comprehensive national strategy for antibiotics is not incorporated into health and pharmaceutical policies.
Insights
Antibiotic misuse is a major public health issue, driving resistance and increasing costs. Mexico needs a comprehensive national strategy addressing consumers and the private sector, not just physicians.
Area of Science:
- Public Health
- Pharmaceutical Policy
- Infectious Disease Epidemiology
Context:
- Antibiotic resistance is a growing global threat, necessitating robust national strategies.
- Mexico faces challenges with inappropriate antibiotic use, impacting individual health and resource allocation.
- Current interventions primarily target physicians in public health services, with limited focus on consumers and the private sector.
Purpose:
- To highlight the critical public health problem of antibiotic resistance driven by inappropriate use.
- To analyze the current landscape of antibiotic use interventions in Mexico.
- To identify gaps in research and policy concerning consumer and private sector antibiotic practices.
Summary:
- Inappropriate antibiotic use fuels antibiotic resistance, a significant public health concern with increased mortality and healthcare costs.
- Mexico's response has focused on public health physicians, neglecting crucial areas like consumer behavior and private sector engagement.
- A comprehensive national antibiotic strategy integrated into health and pharmaceutical policies is lacking.
Impact:
- Emphasizes the need for broader interventions beyond healthcare professionals to combat antibiotic resistance.
- Underscores the importance of including consumer and private sector perspectives in national pharmaceutical policies.
- Provides a foundation for developing more effective, multi-faceted strategies to improve antibiotic stewardship in Mexico.
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