Fleming Douglas M
Birmingham Research Unit of the Royal College of General Practitioners, Lordswood House, 54 Lordswood Road, Harborne, Birmingham B17 9DB, UK.
J Antimicrob Chemother. 2007 Aug;60 Suppl 1(Suppl 1):i49-52. doi: 10.1093/jac/dkm157.
This article summarizes personal reflections from the perspective of general practice on developments with regard to antibiotic resistance and the containment of antibiotic prescribing during the lifetime of the Specialist Advisory Committee on Antimicrobial Resistance in England. These reflections concern the entry of antibiotics into the food chain, recent extensions of prescribing responsibilities and developments towards improved surveillance and reduced antibiotic prescribing. A large gap remains between the scientific appreciation of the risks from antimicrobial resistance and effective means to measure it and thereby hopefully control it.
本文总结了从全科医疗的角度对英国抗菌药物耐药性专家咨询委员会存在期间抗生素耐药性发展以及抗生素处方管控情况的个人思考。这些思考涉及抗生素进入食物链的情况、近期处方职责的扩展以及在加强监测和减少抗生素处方方面的进展。在对抗菌药物耐药性风险的科学认识与衡量并有望控制该风险的有效手段之间,仍然存在巨大差距。