了解抗菌素耐药性的机制和驱动因素
Alison H Holmes1, Luke S P Moore1, Arnfinn Sundsfjord2
1National Institute of Health Research Health Protection Research Unit in Healthcare Associated Infection and Antimicrobial Resistance, and Department of Infectious Diseases, Imperial College London, London, UK.
Lancet (London, England)
|November 26, 2015
概括
抗菌药物耐药性 (AMR) 是一个主要威胁. 了解抗微生物耐药性的驱动因素以及在卫生,农业和环境部门实施全面的多学科战略对于持续获得有效抗微生物药物至关重要.
科学领域:
- 微生物学
- 公共卫生
- 环境科学
背景情况:
- 抗菌素耐药性对人类健康和生物安全构成重大威胁.
- 抗菌药物耐药性的出现是自然的,但在医疗保健,农业和环境中抗菌药物的使用加快了这种情况.
- 抗菌耐药性传播受感染控制,卫生,饮用水,诊断,旅行和迁移的影响.
研究的目的:
- 强调了解抗药性机制和驱动因素的必要性.
- 强调仅仅消除抗菌选择性压力的局限性.
- 倡导全面,多学科的研究和整合的战略来打击抗药性.
主要方法:
- 对抗药物耐药性出现,选择和传播的现有文献的审查.
- 分析影响抗药性传播的因素和缓解策略的有效性.
- 确定多个层面和部门的研究需求.
主要成果:
- 在各个领域的抗菌选择性压力显著推动了AMR.
- 有效的抗药性降低需要解决除了选择性压力之外的因素,包括健康成本.
- 考虑微生物,药物,宿主和环境的整体方法至关重要.
结论:
- 减少抗药性需要在医疗保健,农业和环境领域采取全面的多学科方法.
- 需要综合战略,以确保全球持续获得有效的抗菌药物.
- 需要进一步的研究来了解抗药性机制,并开发明智的,意识到意外后果的解决方案.
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