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对抗抗生素耐药性:对人类障碍和新机遇的洞察:随着人类活动的发展,抗生素耐药性持续上升。我们探讨控制抗生素耐药性的障碍与机遇。

Fighting Antibiotic Resistance: Insights Into Human Barriers and New Opportunities: Antibiotic Resistance Constantly Rises With the Development of Human Activities. We discuss Barriers and Opportunities to Get It Under Control.

作者信息

Pitiot Aubin, Rolin Camille, Seguin-Devaux Carole, Zimmer Jacques

机构信息

Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg.

University of Luxembourg, Esch-sur-Alzette, Luxembourg.

出版信息

Bioessays. 2025 Jun;47(6):e70001. doi: 10.1002/bies.70001. Epub 2025 Mar 27.

Abstract

The public health issue of bacterial multi-resistance to antibiotics has gained awareness among the public, researchers, and the pharmaceutical sector. Nevertheless, the spread of antimicrobial resistance has been considerably aggravated by human activities, climate change, and the subsequent increased release of antibiotics, drug-resistant bacteria, and antibiotic resistance genes in the environment. The extensive use of antibiotics for medical and veterinary purposes has not only induced increasing resistance but also other health problems, including negative effects on the patient's microbiome. Preventive strategies, new treatment modalities, and increased surveillance are progressively set up. A comprehensive approach is, however, lacking for urgently tackling this adverse situation. To address this challenge, we discussed here the main causes driving antimicrobial resistance and pollution of the environment by factors favorable to the emergence of drug resistance. We next propose some key priorities for research, prevention, surveillance, and education to supervise an effective clinical and sustainable response.

摘要

细菌对抗生素的多重耐药这一公共卫生问题已引起公众、研究人员及制药行业的关注。然而,人类活动、气候变化以及随之而来的环境中抗生素、耐药菌和抗生素耐药基因释放量的增加,已使抗菌药物耐药性的传播大大加剧。医疗和兽医领域广泛使用抗生素不仅导致耐药性不断增加,还引发了其他健康问题,包括对患者微生物群的负面影响。预防性策略、新的治疗方式以及加强监测正在逐步建立。然而,目前缺乏一种全面的方法来紧急应对这一不利局面。为应对这一挑战,我们在此讨论了导致抗菌药物耐药性的主要原因以及有利于耐药性出现的因素对环境的污染。接下来,我们提出了一些研究、预防、监测和教育的关键优先事项,以监督有效的临床和可持续应对措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e695/12101051/793bca45e9cf/BIES-47-e70001-g004.jpg

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