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Knowledge and Attitude toward Antibiotic Use and Identification of Financially Feasible Options to Curb the Spread of Antibiotics in Environment 对抗生素使用的认识和态度,以及确定经济上可行的方案以遏制抗生素在环境中的传播
Pub Date : 2023-12-11 DOI: 10.1155/2023/6403250
Mayank Krishna, Nilesh Makwana, Ganesh S. Kakde, Sapna Puri, Arun S. Kharat
A survey on antibiotic literacy in terms of the use and abuse of antibiotics to track and understand antibiotic consumption is crucial to optimize the use of antibiotics and minimizing antimicrobial resistance (AMR). Purposive random sampling, using the snow-ball questionnaire technique, was adopted to ensure that the respondents distributed across India, coming from rural and urban settings, were adolescents as well as adults and had completed at least the higher secondary school level of education. Respondents were divided into five subcategories. The questionnaire was distributed between April 2021 and July 2021, during the second COVID-19 wave in India. The survey questionnaire included 34 questions, comprising multiple-choice and 5-point Likert scale-type questions. This study composed of 972 respondents. Most respondents considered antibiotics safe and frequently failed to discriminate between the symptoms of bacterial and viral infections, most often leading to self-prescription. About 34% of the rural participants and 50% of the urban participants considered antibiotic resistance a serious health concern. Antibiotic prescriptions by the medical or paramedical practitioner were largely empirical. At least 95% of participants acknowledged having heard about antibiotics; nearly 20% of antibiotic consumption came from nonprescription users, while 30% had not completed their antibiotic therapy for a variety of reasons. Sixty-two percent consumed antibiotics to treat cold and flu symptoms. Results from the survey suggest the presence of a crucial gap between the respondents’ perception of antibiotics and levels of information regarding antibiotic use and misuse. The present study may serve as a benchmark that strongly recommends a financially feasible policy, which includes educating society regarding the spread of AMR and its severe consequences by incorporating AMR into the curriculum at the levels of senior secondary school and higher education.
从抗生素的使用和滥用方面对抗生素知识进行调查,以跟踪和了解抗生素的使用情况,对于优化抗生素的使用和最大限度地减少抗菌素耐药性(AMR)至关重要。调查采用了有目的的随机抽样方法,使用了雪球问卷技术,以确保受访者分布在印度各地,来自农村和城市环境,既有青少年,也有成年人,并且至少完成了高中教育水平。受访者被分为五个子类别。调查问卷于 2021 年 4 月至 2021 年 7 月期间在印度的 COVID-19 第二波期间发放。调查问卷包括 34 个问题,由多项选择题和 5 点李克特量表题组成。这项研究由 972 名受访者组成。大多数受访者认为抗生素是安全的,但经常无法区分细菌感染和病毒感染的症状,因此常常自行开药。约 34% 的农村受访者和 50% 的城市受访者认为抗生素耐药性是一个严重的健康问题。医生或医务辅助人员开具的抗生素处方大多是经验性的。至少 95% 的参与者承认听说过抗生素;近 20% 的抗生素消费来自非处方使用者,30% 的人由于各种原因没有完成抗生素治疗。62%的人使用抗生素治疗感冒和流感症状。调查结果表明,受访者对抗生素的认知与有关抗生素使用和滥用的信息水平之间存在着巨大差距。本研究可作为一个基准,强烈建议制定一项财政上可行的政策,其中包括通过将 AMR 纳入高中和高等教育课程,对社会进行有关 AMR 传播及其严重后果的教育。
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引用次数: 0
Anti-Biofilm Effect of Ampicillin-Loaded Poly (Lactic-co-glycolic Acid) Nanoparticles Conjugated with Lysostaphin on Methicillin-Resistant Staphylococcus aureus 载氨苄西林聚乳酸-羟基乙酸纳米颗粒结合溶葡萄球菌对耐甲氧西林金黄色葡萄球菌的抗生物膜作用
Pub Date : 2023-12-06 DOI: 10.1155/2023/4627848
Elahe Norouzi, Seyed Mostafa Hosseini, Babak Asghari, Reza Mahjoub, Ehsan Nazarzadeh Zare, Mohammad-Ali Shahbazi, Fereshte Kalhori, Mohammad Reza Arabestani
Staphylococcus aureus exhibits the capacity to develop biofilms on various surfaces, encompassing both living and nonliving substrates, enabling it to develop resistance against the immune system and antibiotics. Therefore, this bacterium can cause numerous challenges in healthcare and treatment systems. The present study aimed to investigate the ampicillin-loaded PLGA nanoparticles’ effect on preventing the methicillin-resistant Staphylococcus aureus (MRSA) biofilm formation when it is conjugated with lysostaphin. With the use of the double emulsion evaporation technique, nanodrug carriers were created. Physicochemical attributes of the nanoparticles, such as particle size, drug loading, PDI, encapsulation efficiency, zeta potential, efficiency of lysostaphin conjugation, and morphology, were measured. Minimum inhibitory concentration (MIC), well diffusion, and other techniques were used to investigate the effect of the produced nanodrug carrier on strains of S. aureus. A toxicity test was conducted to examine the toxic effects of artificially generated nanomedicines on the L929 fibroblast culture. The nanoparticle average size, zeta potential, PDI, lysostaphin conjugation efficiency and drug loading encapsulation efficiency, and in the optimum PLGA-AMP-LYS (F4) formulation were 301.9 ± 32 nm, 0.261 ± 0.010, −19.2 ± 3.4 mV, 18.916 ± 1.6, and 94.53 ± 3.8, 40%, respectively. After 72 hours, neither the well diffusion nor MIC techniques revealed any discernible variation between ampicillin and nanodrug carriers. The biofilm investigation’s findings, however, indicated that compared to the free drug, the hindering effect of the nanodrug carrier was greater after 72 hours. The toxicity test findings revealed that the synthesized nanodrug had no toxic effects on the cells. Given the excellent efficacy of the nanomedicine carrier established in the present study, applying this technology to combat hospital-acquired infections caused by Staphylococcus bacteria could yield significant benefits in managing staphylococcal infections.
金黄色葡萄球菌表现出在各种表面上形成生物膜的能力,包括生物和非生物底物,使其能够对免疫系统和抗生素产生耐药性。因此,这种细菌会给医疗保健和治疗系统带来许多挑战。本研究旨在研究负载氨苄西林的PLGA纳米颗粒与溶葡萄球菌蛋白结合时对耐甲氧西林金黄色葡萄球菌(MRSA)生物膜形成的抑制作用。采用双乳蒸发技术制备了纳米药物载体。测定了纳米颗粒的物理化学性质,如粒径、载药量、PDI、包封效率、zeta电位、溶葡萄球菌蛋白偶联效率和形态。采用最小抑制浓度(MIC)、孔扩散等技术研究了制备的纳米药物载体对金黄色葡萄球菌菌株的影响。采用毒性试验研究人工合成纳米药物对L929成纤维细胞的毒性作用。最佳PLGA-AMP-LYS (F4)配方的纳米颗粒平均粒径为301.9±32 nm, zeta电位为0.261±0.010,PDI为- 19.2±3.4 mV, 18.916±1.6 mV, 94.53±3.8 mV,载药包封率为40%。72小时后,孔扩散和MIC技术都没有发现氨苄西林和纳米药物载体之间有任何明显的差异。然而,生物膜研究结果表明,与游离药物相比,纳米药物载体在72小时后的阻碍作用更大。毒性试验结果表明,合成的纳米药物对细胞无毒性作用。鉴于本研究中建立的纳米药物载体的优异疗效,将该技术应用于对抗葡萄球菌引起的医院获得性感染可能会在葡萄球菌感染的管理方面产生显著的好处。
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引用次数: 0
Trends and Progress on Antibiotic-Resistant Mycobacterium tuberculosis and Genes in relation to Human Immunodeficiency Virus 耐药结核分枝杆菌及其与人类免疫缺陷病毒相关基因的研究进展
Pub Date : 2023-11-30 DOI: 10.1155/2023/6659212
N. G. Mbewana Ntshanka, T. A. M. Msagati
Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and tuberculosis (TB) are among the infectious diseases that cause high rates of mortality worldwide. The epidemiology of antibiotic resistance in correlation to people that live with TB and HIV has not been thoroughly investigated particularly in South Africa. Numerous cases of multidrug-resistant TB (MDR-TB) and extensively drug-resistant TB (XDR-TB) have been announced immensely worldwide. The spread and control of the MDR-TB pandemic due to unsuccessful treatment is one of the most serious public issues of concern, and this challenge is of international interest. Despite all measures that have been executed to overcome the challenge of MDR-TB in recent decades, the global MDR-TB trends have kept on accelerating with more and more people becoming victims. This is attributed to the abuse, misuse, and overuse of different antibacterial agents in human medicine, animal farms, and agricultural activities which serve as a wellspring for the evolution of antimicrobial resistance within the population. Over and above, the impetuous evolution, mutation, and the transfer of resistant genes via horizontal gene transfer are well-known contributive factors towards the antimicrobial resistance problem. Among the public health concerns in the world currently is the ever-increasing problem of antibiotic resistance which outpaces the progress of newly developed antimicrobials. The propagation of antimicrobial resistance (AMR) is even more amplified in areas where the pressure of antimicrobial resistant pathogens is elevated, and hence the population with ubiquitous HIV and AIDS is considered the hotspot. This review therefore aims to give in-depth coverage on the trends and the progress on the development of TB and HIV-resistant strains, highlight strategies to solve the problem, and accentuate the repercussions of the COVID-19 epidemic on the AMR.
人体免疫机能丧失病毒/后天免疫机能丧失综合症(艾滋病毒/艾滋病)和结核病(结核病)是在世界范围内造成高死亡率的传染病。与结核病和艾滋病毒感染者相关的抗生素耐药性流行病学尚未得到彻底调查,特别是在南非。在世界范围内,已经报告了许多耐多药结核病和广泛耐药结核病病例。由于治疗不成功而导致的耐多药结核病大流行的传播和控制是令人关切的最严重的公共问题之一,这一挑战引起了国际关注。尽管近几十年来为克服耐多药结核病的挑战采取了各种措施,但全球耐多药结核病趋势仍在继续加速,越来越多的人成为受害者。这是由于人类医学、动物农场和农业活动中滥用、误用和过度使用不同的抗菌剂,这些抗菌剂是人群中抗菌素耐药性演变的源泉。此外,急躁的进化、突变和抗性基因通过水平基因转移的转移是众所周知的导致抗菌素耐药性问题的因素。目前世界公共卫生关注的问题之一是日益严重的抗生素耐药性问题,其速度超过了新开发的抗菌素的进展。抗菌素耐药性(AMR)的传播在抗菌素耐药病原体压力升高的地区更为严重,因此普遍存在的艾滋病毒和艾滋病人群被认为是热点。因此,本综述旨在深入报道结核病和艾滋病毒耐药菌株的发展趋势和进展,强调解决这一问题的策略,并强调COVID-19流行对抗生素耐药性的影响。
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引用次数: 0
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Canadian Journal of Infectious Diseases and Medical Microbiology
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