畜牧业抗菌素耐药性和合理使用抗菌素:发展中国家的观点

H. Meena, Vikash Kumar
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引用次数: 3

摘要

印度是全球农业抗生素的最大消费国之一,占全球消费量的3%,预计到2030年将翻一番。预计到2030年,印度抗生素的使用量,尤其是鸡的使用量,将增加两倍。这些抗菌素药物的过度使用、不明智使用和误用催生了危及生命的细菌的进化,使目前的抗菌素储备变得无用。应制定适当的推广、外展和持续规划,以促进明智地使用抗微生物药物。创新的方法,如“同一个健康”、“抗菌剂管理”和“抗菌剂保护”是当前令人担忧的形势所需要的。有必要减少动物,特别是家养动物的抗微生物药物使用;在医院提供感染监测;加强医院对抗生素耐药性的监测;通过教育、监测和监管促进合理用药;研究新药;制定和实施更具限制性和参与性的抗生素政策,包括各利益攸关方。因此,通过全国监测和监测系统跟踪兽医抗菌素使用率、耐药性和残留情况,并对农民、兽医和消费者进行教育,可以为抗击这种抗菌素耐药性的灾难性局面铺平道路。
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Antimicrobial Resistance and Rational Use of Antimicrobials in Livestock: Developing Countries’ Perspective
India is one of the top consumers of antibiotics in agriculture worldwide, which accounts for 3% of global consumption, which is estimated to double in 2030. The use of antibiotics, particularly in chickens, is expected to triple in India by 2030. The overuse, injudicious use, and misuse of these antimicrobial drugs have spawned the evolution of life-threatening bacteria that is making the current antimicrobials’ reserve useless. Suitable extension outreach and continuing programmes should be devised to promote the judicious use of antimicrobials. Innovative approaches, such as One Health, Antimicrobial Stewardship, and antimicrobial conservation are the need of present alarming situation. There is need to reduce the antimicrobial use in animals, particularly domesticated animals; provision of infection surveillance in hospitals; improving hospital surveillance for monitoring antibiotic resistance; promoting rational and judicious use of drug through education, monitoring, and supervision; researching new drugs; and developing and implementing a more restrictive and participatory antibiotic policy by including various stakeholders. Thus, tracking the rate of veterinary antimicrobial use, resistance, and residues, through a nationwide surveillance and monitoring system, and educating farmers, veterinarians, and consumers could pave the way to fight against this catastrophic situation of antimicrobial resistance.
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