获得有效的抗菌药物:一个全球性的挑战
Ramanan Laxminarayan1, Precious Matsoso2, Suraj Pant3
1Princeton Environmental Institute, Princeton, NJ, USA; Public Health Foundation of India, New Delhi, India.
Lancet (London, England)
|November 26, 2015
概括
抗菌药物耐药性威胁全球健康,增加感染风险,限制医疗程序. 疫苗和新的医疗保健策略对于应对这种日益严重的威胁至关重要.
科学领域:
- 全球健康
- 传染性疾病
- 药理学
背景情况:
- 全球预期寿命和抗菌药物获取率有所提高,特别是在低收入国家.
- 抗菌素耐药性 (AMR) 的增加对最近的健康进展构成重大威胁.
- 耐药病原体危及新生儿败血症和医疗相关感染等严重疾病的生存率.
研究的目的:
- 突出有效抗菌剂在现代医学中的关键重要性.
- 评估由于抗菌药物耐药性而导致的疾病负担.
- 评估疫苗在减少抗生素需求方面的潜在作用.
主要方法:
- 审查当前的抗菌素获取和耐药性的全球健康趋势.
- 分析与抗菌素耐药性相关的疾病负担.
- 对减轻抗生素使用的疫苗有效性的评估.
主要成果:
- 抗菌药物耐药性是全球主要的健康挑战,
- 有效抗菌药物的有限获取危及严重感染的治疗和必要的医疗干预.
- 疫苗有潜力降低感染的发生率,从而减少对抗生素的依赖.
结论:
- 有效的抗微生物药物至关重要,
- 应对抗菌素耐药性需要采取两种方法:扩大适当的获取和限制不适当的使用.
- 除了疫苗的战略使用,单一健康视角和创新的医疗保健融资对于打击抗菌耐药性至关重要.
更多相关视频
12:03Antimicrobial Synergy Testing by the Inkjet Printer-assisted Automated Checkerboard Array and the Manual Time-kill Method
Published on: April 18, 2019
28.0K
09:59Application of the Intelligent High-Throughput Antimicrobial Sensitivity Testing/Phage Screening System and Lar Index of Antimicrobial Resistance
Published on: July 21, 2023
1.9K
相关概念视频
Antimicrobial Effectiveness
2.0K
The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
2.0K
Clinical Significance of Antibiotic Resistance
32
Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within...
32
Surface Membrane Barriers
3.3K
The skin and mucous membranes serve as the primary line of defense against pathogens by providing both physical and chemical protection. These barriers are essential in preventing the entry and establishment of microbes, thereby maintaining the integrity of the host.
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
3.3K
Development of Antibiotic Resistance
1.9K
Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
1.9K
Antimicrobial Proteins
15.4K
Antimicrobial proteins are important components of the immune system. They aid the body in combating pathogens by either killing them directly or hindering their replication processes. Four main types of antimicrobial substances are interferons, the complement system, iron-binding proteins, and antimicrobial proteins.
Interferons
Interferons (IFNs) are proteins produced by lymphocytes, macrophages, and fibroblasts infected with viruses. While IFNs cannot prevent viruses from entering and...
Interferons
Interferons (IFNs) are proteins produced by lymphocytes, macrophages, and fibroblasts infected with viruses. While IFNs cannot prevent viruses from entering and...
15.4K
Antibiotic Selection
62.1K
Overview
62.1K
