抗菌药物耐药性
Hilary D Marston1, Dennis M Dixon2, Jane M Knisely2
1National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland.
JAMA
|September 23, 2016
概括
抗菌素耐药性 (AMR) 是一个日益增长的威胁, 需要新的策略和公共卫生干预措施来对抗耐药细菌.
科学领域:
- 医学科学
- 微生物学
- 公共卫生
背景情况:
- 抗生素是重要的医学进步, 挽救了数百万人的生命.
- 抗菌素耐药性 (AMR) 对全球健康构成重大威胁.
- 抗菌药物的兴起危及现代医学的有效性.
研究的目的:
- 确定导致AMR的因素.
- 分析主要耐药生物体的流行病学.
- 探索对抗药物耐药性危机的可能解决方案.
主要方法:
- 搜索了PubMed,NIH REPORTER和临床试验网站 (2000年至2016年).
- 专注于AMR流行病学,临床影响,新药和非药物战略.
- 审查了103篇精选的文章,数据库和卫生政策文件.
主要成果:
- 抗菌耐药性是由不适当的抗生素处方,非标签使用和细菌遗传学驱动的.
- 经济激励不足阻碍了新抗菌药物的开发.
- 耐卡巴和抗素的格拉姆阴性生物体存在临床挑战.
- 替代策略包括新的抗菌发现和毒性因子中和.
结论:
- 对目前的临床实践提出了重大挑战.
- 修改抗菌剂的使用和公共卫生干预措施至关重要.
- 新型抗菌策略对于减轻多药耐药生物的影响至关重要.
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