Department of General Surgery, Bedford Hospital, Bedfordshire Hospitals NHS Trust, Bedford, UK.
Institute of Public Health, University of Cambridge, Cambridge, UK.
Br J Hosp Med (Lond). 2021 Mar 2;82(3):1-6. doi: 10.12968/hmed.2020.0692. Epub 2021 Mar 13.
Antibiotics are one of the most widely used classes of drugs within hospitals in the UK. They have a wide range of uses within all surgical specialties, both as preoperative prophylaxis and for treatment of acute surgical conditions. Antimicrobial resistance has increasingly been seen as a major issue, as the production of new antibiotics has decreased and overall use worldwide has increased. With the COVID-19 pandemic increasing concerns about antimicrobial resistance, there is an ever-increasing need for action. This article examines the particular challenges of antibiotic stewardship in surgical departments within the UK, and outlines possible solutions for improving adherence and reducing the risk of antimicrobial resistance in the future.
抗生素是英国医院内使用最广泛的药物之一。它们在所有外科专业中都有广泛的用途，既可以作为术前预防用药，也可以用于治疗急性外科疾病。随着新抗生素的产量减少，而全球总用量增加，抗生素耐药性问题日益严重。随着 COVID-19 大流行增加了对抗生素耐药性的担忧，采取行动的需求日益增加。本文探讨了英国外科部门中抗生素管理的特殊挑战，并概述了提高依从性和降低未来抗生素耐药风险的可能解决方案。
