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Quadruple-Checkerboard: A Modification of the Three-Dimensional Checkerboard for Studying Drug Combinations
Published on: July 24, 2021
Multidrug-resistant organisms and antibiotic management
1Department of Surgery, Weill Cornell Medical College, New York, NY 10021, USA. pbarie@med.cornell.edu
Multidrug-resistant infections are rising due to antibiotic overuse in medicine and agriculture. With few new drugs available, clinicians must prioritize antibiotic stewardship to manage existing treatments effectively.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Background:
- The rise of multidrug-resistant (MDR) infections presents a significant global health challenge.
- Clinical and veterinary antibiotic use, alongside agricultural practices, are primary drivers of this increasing resistance.
- A critical gap exists in the development pipeline for novel antimicrobial agents.
Purpose of the Study:
- To highlight the escalating problem of multidrug-resistant infections.
- To underscore the consequences of widespread antibiotic use on resistance patterns.
- To emphasize the urgent need for effective antibiotic stewardship in clinical practice.
Main Methods:
- This study is a review and analysis of current trends in antimicrobial resistance.
- It synthesizes information on the sources and impact of multidrug resistance.
- It discusses the implications for clinical practice and drug development.
Main Results:
- Antibiotic resistance is creating a cycle necessitating broader-spectrum empirical treatments.
- The pipeline for new antibiotics is critically insufficient to meet future needs.
- Existing antimicrobial resources are becoming less effective against resistant pathogens.
Conclusions:
- Clinicians face a future with limited therapeutic options for multidrug-resistant infections.
- Adherence to antibiotic stewardship principles is essential for optimizing current treatments.
- Urgent innovation in antimicrobial drug development is required to combat this growing threat.
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