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医院环境中的抗菌药物耐药性:影响、趋势及感染控制措施

Antimicrobial resistance in the hospital setting: impact, trends, and infection control measures.

作者信息

Stein Gary E

机构信息

The Department of Medicine, Michigan State University, East Lansing, Michigan 48824, USA.

出版信息

Pharmacotherapy. 2005 Oct;25(10 Pt 2):44S-54S. doi: 10.1592/phco.2005.25.10part2.44S.

Abstract

The growing threat posed by antibiotic-resistant pathogens is a major challenge for infectious disease practitioners and public health officials. In recent years, the prevalence of resistance among key bacterial pathogens, including Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa, Klebsiella pneumoniae, Streptococcus pneumoniae, and Enterococcus sp, has increased at an alarming rate. The impact of antimicrobial resistance is manifold and can ultimately lead to treatment failure and increased morbidity and mortality. To control the spread of resistance and subsequent impact, a multifaceted approach is warranted. Awareness and surveillance of antimicrobial resistance, prudent use of antibiotics, and compliance with infection control techniques may help contain the emergence and spread of resistant organisms.

摘要

抗生素耐药性病原体构成的威胁日益增长,这对传染病从业者和公共卫生官员来说是一项重大挑战。近年来,包括金黄色葡萄球菌、大肠杆菌、铜绿假单胞菌、肺炎克雷伯菌、肺炎链球菌和肠球菌属在内的主要细菌性病原体的耐药率以惊人的速度上升。抗菌药物耐药性的影响是多方面的,最终可能导致治疗失败以及发病率和死亡率上升。为了控制耐药性的传播及其后续影响,需要采取多方面的方法。对抗菌药物耐药性的认识和监测、谨慎使用抗生素以及遵守感染控制技术可能有助于遏制耐药生物体的出现和传播。

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