Impact of MDRs on COVID-19 Patients Among Developing Countries

A. Bharadwaj
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Abstract

The COVID-19 virus has killed more than 6.3 million people worldwide. The misuse of antibiotics increased during epidemics, leading to the spread of MDRs. Although antibiotic use is increasing in both developed and developing countries, the utility level and abuse are higher in developing countries. This could have negative consequences for the vaccine, especially considering that many developing countries reported the emergence of many resistant microbes even before the pandemic. Infectious diseases, social and cultural pressures, and telemedicine facilities can all contribute to the overuse of antibiotics. The emergence of multidrug resistance is a major concern, especially in developing countries where health services are already inadequate and diagnostic capacity and facilities for disease prevention and control are inadequate. This might be the major cause of the extensive spread of such diseases. Improper waste management and disposal in hospitals and communities make it easy for clean water to leak from the area, causing many diseases and causing many antibiotics. The potential for microplastics to be turned into anti-bacterial products is also of particular concern for low- and middle-income countries. In the present review, we aim to examine the impact of multidrug resistance in ESKAPE infections coupled with healthcare-associated infections and determine their risk of secondary infection in COVID-19 patients in low- and middle-income countries during the COVID-19 epidemic from a multidisciplinary perspective, identify the challenge for developing countries and seek solutions to solve this problem.
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MDRs 对发展中国家 COVID-19 患者的影响
COVID-19 病毒已在全球造成 630 多万人死亡。在流行病期间,抗生素的滥用增加,导致了耐药菌的传播。尽管抗生素的使用在发达国家和发展中国家都在增加,但发展中国家的使用水平和滥用程度更高。这可能会对疫苗产生负面影响,特别是考虑到许多发展中国家甚至在大流行之前就报告出现了许多耐药微生物。传染病、社会和文化压力以及远程医疗设施都可能导致抗生素的过度使用。多重耐药性的出现是一个令人担忧的重大问题,尤其是在医疗服务已经不足、诊断能力和疾病预防与控制设施不足的发展中国家。这可能是此类疾病广泛传播的主要原因。医院和社区的废物管理和处理不当,很容易使清洁的水从该地区泄漏,导致许多疾病,并引起许多抗生素。对于低收入和中等收入国家来说,微塑料被转化为抗菌产品的可能性也尤其令人担忧。在本综述中,我们旨在从多学科角度研究 ESKAPE 感染中的多重耐药性与医疗相关感染的影响,并确定其在 COVID-19 流行期间对中低收入国家 COVID-19 患者造成二次感染的风险,明确发展中国家面临的挑战,并寻求解决这一问题的方案。
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