Aslam Bilal, Wang Wei, Arshad Muhammad Imran, Khurshid Mohsin, Muzammil Saima, Rasool Muhammad Hidayat, Nisar Muhammad Atif, Alvi Ruman Farooq, Aslam Muhammad Aamir, Qamar Muhammad Usman, Salamat Muhammad Khalid Farooq, Baloch Zulqarnain
Department of Microbiology, Government College University Faisalabad, Faisalabad, Pakistan.
NHC Key Laboratory of Food Safety Risk Assessment, China National Center for Food Safety Risk Assessment, Beijing, China.
Infect Drug Resist. 2018 Oct 10;11:1645-1658. doi: 10.2147/IDR.S173867. eCollection 2018.
The advent of multidrug resistance among pathogenic bacteria is imperiling the worth of antibiotics, which have previously transformed medical sciences. The crisis of antimicrobial resistance has been ascribed to the misuse of these agents and due to unavailability of newer drugs attributable to exigent regulatory requirements and reduced financial inducements. Comprehensive efforts are needed to minimize the pace of resistance by studying emergent microorganisms, resistance mechanisms, and antimicrobial agents. Multidisciplinary approaches are required across health care settings as well as environment and agriculture sectors. Progressive alternate approaches including probiotics, antibodies, and vaccines have shown promising results in trials that suggest the role of these alternatives as preventive or adjunct therapies in future.
病原菌多重耐药性的出现正在危及抗生素的价值,而抗生素此前曾改变医学科学。抗菌药物耐药性危机归因于这些药物的滥用,以及由于严格的监管要求和经济诱因减少导致新型药物供应不足。需要通过研究新出现的微生物、耐药机制和抗菌药物,全面努力减缓耐药性的发展速度。在医疗保健机构以及环境和农业部门都需要采取多学科方法。包括益生菌、抗体和疫苗在内的渐进式替代方法在试验中已显示出有前景的结果,这表明这些替代方法在未来可作为预防或辅助疗法发挥作用。