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神经外科中的抗生素滥用:对患者安全和手术结果的威胁。

Antibiotic misuse in neurosurgery: a threat to patient safety and surgical outcomes.

机构信息

Neurosurgery, Rawalpindi Medical University, Rawalpindi, Pakistan.

Violence, Injury Prevention & Disability Unit, Health Services Academy, Ministry of National Health Services, Regulations & Coordination, Government of Pakistan, Islamabad, Pakistan.

出版信息

Neurosurg Rev. 2024 Sep 4;47(1):530. doi: 10.1007/s10143-024-02750-0.

DOI:10.1007/s10143-024-02750-0
PMID:39227422
Abstract

Inappropriate antibiotic use in neurosurgery poses significant threats to global public health. Infections in neurosurgical patients can lead to devastating consequences, complicated by antibiotic-resistant bacteria. The CDC reports at least 2.8 million drug-resistant infections annually in the US, resulting in 35,000 deaths. Addressing this issue requires interdisciplinary approaches, engaging healthcare providers, researchers, policymakers, and the public. Understanding factors contributing to antibiotic misuse is essential in safeguarding the future of surgical procedures and protecting patient health.

摘要

神经外科领域抗生素的不恰当使用对全球公共卫生构成了重大威胁。神经外科患者的感染可能导致严重后果,而抗生素耐药菌则使情况更为复杂。美国疾病控制与预防中心(CDC)报告称,美国每年至少有 280 万例耐药感染,导致 3.5 万人死亡。解决这一问题需要采取跨学科的方法,让医疗保健提供者、研究人员、政策制定者和公众共同参与。了解导致抗生素滥用的因素对于保障手术未来和保护患者健康至关重要。

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本文引用的文献

1
Inappropriate use of antibiotics and its predictors in pediatric patients admitted at the Central Hospital of Nampula, Mozambique.莫桑比克楠普拉中央医院儿科患者抗生素使用不当及其预测因素。
Antimicrob Resist Infect Control. 2022 Jun 2;11(1):79. doi: 10.1186/s13756-022-01115-w.
2
Confronting antimicrobial resistance beyond the COVID-19 pandemic and the 2020 US election.应对新冠疫情和2020年美国大选之外的抗菌药物耐药性问题。
Lancet. 2020 Oct 10;396(10257):1050-1053. doi: 10.1016/S0140-6736(20)32063-8. Epub 2020 Sep 29.
3
The cost of antimicrobial resistance.
抗菌药物耐药性的代价。
Nat Rev Microbiol. 2019 Jan;17(1):3. doi: 10.1038/s41579-018-0125-x.
4
Attributable deaths and disability-adjusted life-years caused by infections with antibiotic-resistant bacteria in the EU and the European Economic Area in 2015: a population-level modelling analysis.2015 年欧盟及欧洲经济区因抗生素耐药菌感染导致的死亡人数和伤残调整生命年:基于人群的模型分析。
Lancet Infect Dis. 2019 Jan;19(1):56-66. doi: 10.1016/S1473-3099(18)30605-4. Epub 2018 Nov 5.