Overuse of high stability antibiotics and its consequences in public and environmental health.

Acta microbiologica Polonica Pub Date : 2003-01-01
Przemysław Zdziarski, Krzysztof Simon, Jacek Majda
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Abstract

In this paper the ecological aspects of widespread antibiotic consumption are described. Many practitioners, veterinarians, breeders, farmers and analysts work on the assumption that a antibiotics undergo spontaneous degradation. It is well documented that the indiscriminate use of antibiotics has led to the water contamination, selection and dissemination of antibiotic-resistant organisms, alteration of fragile ecology of the microbial ecosystems. The damages caused by the overuse of antibiotics include hospital, waterborne and foodborne infections by resistant bacteria, enteropathy (irritable bowel syndrome, antibiotic-associated diarrhea etc.), drug hypersensitivity, biosphere alteration, human and animal growth promotion, destruction of fragile interspecific competition in microbial ecosystems etc. The consequences of heavy antibiotic use for public and environmental health are difficult to assess: utilization of antibiotics from the environment and reduction of irrational use is the highest priority issue. This purpose may be accomplished by bioremediation, use of probenecid for antibiotic dosage reduction and by adoption of hospital infections methodology for control resistance in natural ecosystems.

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高稳定性抗生素的过度使用及其对公众和环境健康的影响。
本文描述了广泛使用抗生素的生态方面。许多从业人员、兽医、饲养员、农民和分析人员都假设抗生素会自发降解。有充分的证据表明,滥用抗生素导致了水污染,抗生素耐药生物的选择和传播,改变了微生物生态系统的脆弱生态。过度使用抗生素造成的损害包括耐药菌引起的医院、水媒和食源性感染、肠病(肠易激综合征、抗生素相关性腹泻等)、药物过敏、生物圈改变、促进人类和动物生长、破坏微生物生态系统中脆弱的种间竞争等。抗生素大量使用对公众和环境健康造成的后果难以评估:从环境中利用抗生素和减少不合理使用是最优先的问题。这一目的可通过生物修复、使用probenecid减少抗生素剂量和采用医院感染方法控制自然生态系统中的耐药性来实现。
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