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Updated: Jul 18, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
Microbial resistance to drug therapy: a review
1School of Nursing, Southern Illinois University at Edwardsville 62026-1066, USA.
Antimicrobial resistance is a growing global threat affecting bacteria, fungi, viruses, and parasites. Understanding its complex causes and mechanisms is crucial for developing effective strategies against this public health challenge.
Area of Science:
- Microbiology
- Infectious Diseases
- Pharmacology
Background:
- Microbial resistance to antimicrobials is increasingly prevalent.
- Resistance is observed across various microorganisms, including bacteria, fungi, viruses, and parasites.
- This phenomenon is multifaceted, involving interactions between the microorganism, environment, and patient.
Purpose of the Study:
- To provide a historical perspective on microbial resistance.
- To discuss the mechanisms of antibiotic resistance.
- To review current strategies and recommendations for addressing antimicrobial resistance.
Main Methods:
- Literature review of historical data and current research on microbial resistance.
- Analysis of resistance mechanisms in various microbial types.
- Examination of resistance in both hospital and community settings.
Main Results:
- Bacterial resistance is the most common form, but resistance in other microbes is also significant.
- Resistance can be an intrinsic trait or acquired during therapy.
- Major organisms with significant resistance problems are identified.
Conclusions:
- Antimicrobial resistance is a complex, evolving challenge requiring comprehensive strategies.
- Addressing resistance necessitates a multi-pronged approach considering various settings and microbial types.
- Existing guidelines and future recommendations are essential for combating resistance.
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