Broens Els M, van Geijlswijk Ingeborg M
Department of Infectious Diseases and Immunology, Clinical Infectiology, Utrecht University, Yalelaan 106, Utrecht 3584 CM, The Netherlands.
IRAS Veterinary Pharmacology and Therapeutics Group, Pharmacy Department, Utrecht University, Yalelaan 106, Utrecht 3584 CM, The Netherlands.
Vet Clin North Am Exot Anim Pract. 2018 May;21(2):341-353. doi: 10.1016/j.cvex.2018.01.014.
Reduction of antimicrobial use can result in reduction of resistance in commensal bacteria. In exotic animals, information on use of antimicrobials and resistance in commensals and pathogens is scarce. However, use of antimicrobials listed as critically important antimicrobials for human medicine seems high in exotic animals. Ideally, the selection of a therapy should be based on an accurate diagnosis and antimicrobial susceptibility testing. When prescribing antimicrobials based on empiricism, knowledge of the most common pathogens causing specific infections and the antimicrobial spectrum of antimicrobial agents is indispensable. Implementing antimicrobial stewardship promotes the prudent use of antimicrobials in exotic animals.
减少抗菌药物的使用可降低共生菌的耐药性。在外来动物中，关于抗菌药物使用以及共生菌和病原体耐药性的信息很少。然而，在人类医学中被列为极为重要的抗菌药物在这些外来动物中的使用似乎很普遍。理想情况下，治疗方案的选择应基于准确的诊断和抗菌药物敏感性测试。当根据经验使用抗菌药物时，了解引起特定感染的最常见病原体以及抗菌药物的抗菌谱是必不可少的。实施抗菌药物管理有助于促进在外来动物中谨慎使用抗菌药物。
