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阐述 COVID-19 对抗菌药物耐药性的影响:印度视角。

Delineating the impact of COVID-19 on antimicrobial resistance: An Indian perspective.

机构信息

Department of Microbiology, Pondicherry University, Puducherry 605014, India.

NIHR Health Protection Research Unit in Healthcare associated infection and AMR, Department of Infectious Disease, Imperial College London, UK.

出版信息

Sci Total Environ. 2022 Apr 20;818:151702. doi: 10.1016/j.scitotenv.2021.151702. Epub 2021 Nov 16.

Abstract

The COVID-19 pandemic has shattered millions of lives globally and continues to be a challenge to public health due to the emergence of variants of concern. Fear of secondary infections following COVID-19 has led to an escalation in antimicrobial use during the pandemic, while some antimicrobials have been repurposed as treatments for SARS-CoV-2, further driving antimicrobial resistance. India is one of the largest producers and consumers of antimicrobials globally, hence the task of curbing antimicrobial resistance is a huge challenge. Practices like empirical antimicrobial prescription and repurposing of drugs in clinical settings, self-medication and excessive use of antimicrobial hygiene products may have negatively impacted the prevalence of antimicrobial resistance in India. However, the expanded production of antimicrobials and disinfectants during the pandemic in response to increased demand may have had an even greater impact on the threat of antimicrobial resistance through major impacts on the environment. The review provides an outline of the impact COVID-19 can have on antimicrobial resistance in clinical settings and the possible outcomes on the environment. This review calls for the upgrading of existing antimicrobial policies and emphasizes the need for research studies to understand the impact of the pandemic on antimicrobial resistance in India.

摘要

COVID-19 大流行在全球范围内使数百万人的生活陷入困境,由于关注变种的出现,它仍然是公共卫生的挑战。由于担心 COVID-19 后二次感染,大流行期间抗生素的使用有所增加,而一些抗生素已被重新用于治疗 SARS-CoV-2,这进一步推动了抗生素耐药性的发展。印度是全球最大的抗生素生产国和消费国之一,因此遏制抗生素耐药性的任务是一个巨大的挑战。在临床环境中凭经验开抗生素处方和重新使用药物、自我用药以及过度使用抗菌卫生产品等做法可能对印度抗生素耐药性的流行产生了负面影响。然而,为了应对需求的增加,大流行期间抗生素和消毒剂的扩大生产可能对环境产生了更大的影响,从而对抗生素耐药性的威胁产生了更大的影响。本综述概述了 COVID-19 对临床环境中抗生素耐药性的影响以及对环境的可能影响。本综述呼吁升级现有的抗生素政策,并强调需要进行研究,以了解大流行对印度抗生素耐药性的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fbc/8592853/2f8104b36086/ga1_lrg.jpg

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