School of Biomedical Sciences, Ulster University, Coleraine, United Kingdom.
Laboratory for Disinfection and Pathogen Elimination Studies, Northern Ireland Public Health Laboratory, Belfast City Hospital, Belfast, United Kingdom.
Br J Biomed Sci. 2023 Jun 28;80:11387. doi: 10.3389/bjbs.2023.11387. eCollection 2023.
Antimicrobial resistance (AMR) has now emerged as a chronic public health problem globally, with the forecast of 10 million deaths per year globally by 2050. AMR occurs when viruses, bacteria, fungi and parasites do not respond to antimicrobial treatments in humans and animals, thus allowing the survival of the microorganism within the host. The prominent cause contributing to the current crisis remains to be the overuse and misuse of antimicrobials, particularly the inappropriate usage of antibiotics, increasing the global burden of antimicrobial resistance. The global consumption and usage of antibiotics are therefore closely monitored at all times. This review provides a current overview of the implications of strategies used by international governmental organisations, including the UN's 17 Sustainable Development Goals (SDGs), to address the problem of antibiotic resistance, as well as the "," a system incorporating a multidisciplinary effort to achieve the best possible health outcome by acknowledging the clear connections between humans, animals and their shared environment. The importance of public awareness and health literacy of lay audiences still needs to be further emphasised as part of global and local action plans. Antimicrobial resistance continues to be a major global public health dilemma of the 21st century. Already this topic is receiving substantial political input from the G7 countries and continues to be on the agenda of numerous political conferences. The consequences of failure to adequately address AMR are profound, with estimations of a return to the pre-antibiotic era, where everyday infections relating to childbirth, surgery and open fractured limbs could be potentially life-threatening. AMR itself represents a microcosm of factors, including social anthropology, civil unrest/war, diasporas, ethnic displacement, political systems, healthcare, economics, societal behaviour both at a population and individual level, health literacy, geoclimatic events, global travel and pharmaceutical innovation and investment, thus finding a solution that adequately addresses AMR and which helps stem further AMR emergence is complicated. Success will involve individuals, communities and nations all working together to ensure that the world continues to possess a sufficient armamentarium of effective antimicrobials that will sustain human and animal health, both now and in the future.
抗微生物药物耐药性(AMR)现已成为全球范围内的一个慢性公共卫生问题,据预测,到 2050 年,每年将有 1000 万人因此死亡。当病毒、细菌、真菌和寄生虫在人类和动物体内对抗微生物药物治疗不再产生反应时,就会发生 AMR,从而使微生物在宿主内得以存活。目前导致这一危机的主要原因仍然是抗菌药物的过度和不当使用,特别是抗生素的不合理使用,这增加了全球抗微生物药物耐药性的负担。因此,全球对抗生素的消费和使用情况始终受到密切监测。
本综述提供了国际政府组织(包括联合国的 17 项可持续发展目标(SDGs))为解决抗生素耐药性问题而采取的策略的当前概况,以及“One Health”概念,这是一个多学科综合努力的系统,通过承认人类、动物及其共享环境之间的明确联系,实现最佳的健康结果。提高公众对抗生素耐药性的认识和健康素养仍然需要作为全球和地方行动计划的一部分进一步强调。
抗微生物药物耐药性仍然是 21 世纪全球公共卫生的主要难题。这一主题已经引起了七国集团(G7)国家的大量政治投入,并继续是许多政治会议的议程。如果不能充分解决 AMR,后果将是深远的,估计会回到抗生素前时代,那时与分娩、手术和开放性骨折肢体相关的日常感染可能会危及生命。AMR 本身代表了包括社会人类学、内乱/战争、侨民、族裔流离失所、政治制度、医疗保健、经济、人口和个人层面的社会行为、健康素养、地理气候事件、全球旅行和药品创新和投资在内的各种因素的缩影,因此,找到一个充分解决 AMR 问题并有助于遏制进一步出现 AMR 的解决方案是复杂的。成功将需要个人、社区和国家共同努力,以确保世界继续拥有足够的有效抗菌药物储备,以维持人类和动物的健康,无论是现在还是未来。