Mahidol-Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, 10400, Thailand.
Department of Tropical Hygiene, Faculty of Tropical Medicine, Mahidol University, Bangkok, 10400, Thailand.
J Antimicrob Chemother. 2019 Aug 1;74(8):2122-2127. doi: 10.1093/jac/dkz185.
'Superbugs', bacteria that have become resistant to antibiotics, have been in numerous media headlines, raising awareness of antibiotic resistance and leading to multiple action plans from policymakers worldwide. However, many commonly used terms, such as 'the war against superbugs', risk misleading people to request 'new' or 'stronger' antibiotics from their doctors, veterinary surgeons or pharmacists, rather than addressing a fundamental issue: the misuse and overuse of antibiotics in humans and animals. Simple measures of antibiotic consumption are needed for mass communication. In this article, we describe the concept of the 'antibiotic footprint' as a tool to communicate to the public the magnitude of antibiotic use in humans, animals and industry, and how it could support the reduction of overuse and misuse of antibiotics worldwide. We propose that people need to make appropriate changes in behaviour that reduce their direct and indirect consumption of antibiotics.
“超级细菌”(能够对抗生素产生耐药性的细菌)已经成为众多媒体头条新闻,这提高了人们对抗生素耐药性的认识,并促使世界各地的政策制定者制定了多项行动计划。然而,许多常用术语,如“对抗超级细菌的战争”,可能会误导人们向医生、兽医或药剂师要求“新的”或“更强效的”抗生素,而不是解决一个根本问题:人类和动物中抗生素的滥用和过度使用。需要对抗生素的使用进行大规模的简单沟通措施。在本文中,我们将抗生素足迹(antibiotic footprint)的概念描述为一种工具,用于向公众传达人类、动物和工业中抗生素使用的规模,以及它如何支持减少全球抗生素的过度使用和滥用。我们建议人们需要在行为上做出适当的改变,以减少他们直接和间接使用抗生素。