抗菌药物:Covid-19紧急情况下的处方性

C. Procacci
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摘要

新型冠状病毒病2019 (COVID-19)是由SARS-CoV-2产生的高度传染性人畜共患病,它通过呼吸道分泌物在人与人之间传播。这是一场突发公共卫生事件,给世界各地的卫生系统带来了压力,也可能对抗击抗菌素耐药性产生负面影响。众所周知,在大流行的头几个月里,特别是在医院里,对冠状病毒感染的患者进行了抗生素的经验性治疗,这一事实引发了一场激烈的辩论,特别是关于抗生素耐药性的风险。从分析的医疗记录来看,今天似乎有90%以上的Covid-19患者接受了经验性抗生素治疗,这是因为在这几个月的紧急情况下,对这一现象的关注并不是优先事项。在大流行病对防治医院感染的不利影响中,我们还必须考虑到诊断实验室的超负荷,这使得监测病原体的工作更加困难。
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Antibacterials Drugs: Prescriptive Appropriety in the Covid-19 Emergency
The new coronavirus disease 2019 (COVID-19) is a highly contagious zoonosis produced by SARS-CoV-2, it is spread from human to human via respiratory secretions. It is a public health emergency that has strained health systems around the world and could also have negative implications for the fight against antimicrobial resistance. As we well know, during the first months of the pandemic, empirical therapies with antibiotics were conducted, especially in hospitals, for patients suffering from coronavirus infection, this is a fact that has opened a great debate, especially for the risks of antibiotics resistance. From the medical records analyzed, today it appears that over 90% of patients with Covid-19 receive empiric antibiotic therapy, this because, in these months of emergency, attention to this phenomenon was not a priority. Among the negative effects of the pandemic on the fight against hospital infections we must also consider the overload of the diagnostic laboratories, which has made the work on the surveillance of pathogens harder.
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