Revision of pharmaceutical legislation in the context of antimicrobial resistance and challenges facing the introduction of innovative antimicrobial medical products in Europe

Atanas Toshev, Elina S Petkova-Gueorguieva, A. Mihaylova, H. Lebanova, Svetoslav Stoev, Stefan Balkanski, Lily Peikova, Svetlana Syarova, V. Madzharov, S. Gueorguiev
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Abstract

The presented article provides a systematic review of the pharmaceutical legislation (EU Pharmaceutical Package) – the current proposal of the European Commission for a new Directive, repealing and replacing Directives and modifying Regulations of the European Parliament and of the Council, incorporating the relevant parts of the Regulation concerning medicinal products for pediatrics, Regulation for orphan drugs and others, aiming at revision of the pharmaceutical legislation in the context of antimicrobial resistance and challenges facing the introduction of innovative antimicrobial medicines in Europe. It outlines a critical analysis on the impact of the changes in the context of introduction of innovative antimicrobial medicinal products with an emphasis on unsatisfied medical demands of the European population. The revision of the pharmaceutical legislation provides an argument to consider that the proposed Pharmaceutical Package could resolve some of the issues associated with the access to novel antibiotic medicines. It is necessary to find a consensus and a balance between, on the one hand, meeting the need for antibiotics for the citizens of the European Union and, on the other hand, providing timely access to generic medicines to meet the needs of the population.
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在抗菌药耐药性的背景下修订药品立法以及在欧洲引入创新抗菌医疗产品所面临的挑战
本文系统回顾了药品立法(欧盟药品一揽子方案)--欧盟委员会目前提出的新指令提案,废除和取代了指令,修改了欧洲议会和欧洲理事会的条例,纳入了儿科药品条例、孤儿药条例和其他条例的相关部分,目的是在抗菌药耐药性和欧洲引进创新抗菌药面临挑战的背景下修订药品立法。报告以欧洲人口尚未满足的医疗需求为重点,对引入创新抗菌药物的变革所产生的影响进行了批判性分析。药品立法的修订提供了一个论据,即拟议中的 "药品包 "可以解决与新型抗生素药品的使用相关的一些问题。一方面,要满足欧盟公民对抗生素的需求,另一方面,要及时提供非专利药品以满足人民的需求,有必要在这两者之间找到共识和平衡。
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