[人类和兽医的抗菌药耐药性:我们在哪里?]

La Revue du praticien Pub Date : 2024-10-01
Laurence Armand-Lefèvre, Jean-Yves Madec
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引用次数: 0

摘要

人类和兽医的抗菌药耐药性:我们在哪里?在人类医学和兽医学中,某些抗生素或细菌种类的抗药性演变令人担忧,而其他抗生素或细菌种类的抗药性演变则不那么令人担忧。在人类和动物中,呼吸道感染的情况比较乐观。另一方面,导致人类性传播感染的细菌或动物中弯曲杆菌对氟喹诺酮类药物的耐药性显著增加。抗菌药耐药性的两个主要指标是肠杆菌对第三代头孢菌素的耐药性和金黄色葡萄球菌对甲氧西林的耐药性。人类和动物的抗药性呈上升趋势,这提醒我们,在抗击抗生素抗药性的斗争中,一方面要采取 "统一健康 "方法控制抗生素的使用,另一方面也要尊重卫生习惯,这一点具有双重重要意义。
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[Antimicrobial resistance in human and veterinary medicine: where are we?]

Antimicrobial resistance in human and veterinary medicine: WHERE ARE WE ? In both human and veterinary medicine, the evolution of antimicrobial resistance is worrying for some antibiotics or bacterial species, but less for others. In humans and animals, the picture for respiratory infections is rather favorable. On the other hand, resistance to fluoroquinolones of bacteria causing sexually transmitted infections in humans, or of Campylobacter_in animals, has increased significantly. Two major indicators of antimicrobial resistance, common to both sectors, are resistance to 3rd generation cephalosporins in Enterobacterales and resistance to methicillin in Staphylococcus aureus. Favorable trends in humans and animals are shown ; they remind of the dual importance, in the fight against antimicrobial resistance in a One Health approach of controlling antibiotic consumption on the one hand, and of respecting hygiene practices, on the other.

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