抗生素和抗生素耐药性的非法典方面
Carlos F Amábile-Cuevas1, Sofia Lund-Zaina2
1Fundación Lusara, Mexico City 08810, Mexico.
Antibiotics (Basel, Switzerland)
|June 27, 2024
概括
对抗生素耐药性的理解已经过时了. 本综述探讨了非正典机制和推动耐药性的社会因素,倡导超越临床抗生素使用的全球战略,以对抗这种主要的健康威胁.
科学领域:
- 微生物学 微生物学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 目前对抗生素耐药性的理解依赖于过时的概念,未能解决问题的复杂性.
- 几十年来,对抗生素机制,药理动力学和耐药性评估的传统方法一直保持不变.
- 现有的改善抗生素使用和抗击耐药性的策略,由于知识不完整,已被证明是无效的.
研究的目的:
- 审查和综合关于抗生素作用和耐药性的"非正典"观点.
- 突出目前敏感性测试的局限性和关于耐药性的传统观点.
- 强调需要对抗生素耐药性的驱动因素进行全面的"大局"理解.
主要方法:
- 文献综述综合了关于抗生素和耐药性的"非正典"发现.
- 对替代抗生素作用机制的分析.
- 检查各种选择性压力,横向基因转移和影响耐药性的社会因素.
主要成果:
- 确定了标准敏感性测试中的替代抗生素机制和局限性.
- 突出了广泛的选择性压力,基因转移机制和抗性的无处不在.
- 强调社会因素在维持抗生素耐药性的重要作用.
结论:
- 整合非正典概念的"大局"观点对于制定有效策略至关重要.
- 目前的策略由于对抗生素耐药性的不完全了解而失败.
- 针对包括非临床因素在内的各种驱动因素的全球战略是必要的,以应对日益增长的抗生素耐药性.
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