Wpływ antybiotykoterapii na rozwój bakterii wielolekoopornych
Abstract
Bakterie wielolekooporne stwarzają realne ryzyko rozwoju trudnych do powstrzymania epidemii. Rozwój antybiotykoodporności zagraża zdrowiu i bezpieczeństwu pacjentów we wszystkich placówkach opieki medycznej w Europie. W 2015 roku stwierdzono znaczący wzrost odsetka oporności na wankomycynę wśród bakterii K. pneumoniae i E.coli. (Biuletyn NPOA 3/2016) Pojawienie się bakterii niewrażliwych na antybiotyki należące do wielu klas terapeutycznych wzbudza szczególny niepokój, ponieważ zakażenia przez nie wywoływane mogą być poważne, śmiertelne i kosztowne.Incorrect prescription and use of antibiotics has an undoubted effect on the isolation of multidrug- resistant bacteria. Already Alexander Fleming, accepting the Nobel Prize for the discovery of penicillin, predicted the effect of inappropriate use of the drug on the immunization of pathogens. Many people do not realize that their incompliance with doctor’s instructions contributes to the development of insensitivity among microorganisms. For this reason, in our work we want to discuss what antibiotic therapy is, describe its basic principles and present current statistics on the prescription of antibiotics by doctors. We will also analyse the issue of direct influence of antibiotics on the selection of resistant bacteria. As part of our research we conducted an anonymous online questionnaire in order to assess current approach of Poles to the use of antibiotics in treatment of infections. 676 people took part in the survey, the largest group being 18-25 years old (82.5% respondents). The questions were concerned with both taking the medications by patients as well as doctor recommendations following ineffective treatments. By analyzing the results of the survey, we tried to link them to the development of multidrug-resistant bacteria and provide the answers to the questions as to what direction modern antibiotic therapy should take and what action each of us can take to prevent the development of drug-resistant superbugs. We also introduced the subject of programs aimed at monitoring the occurrence of antibiotic-resistant bacterial pathogens and reduction of the excessive consumption of antibiotics in open and closed care. The main goal of our work was to show the importance of correct choice of antibiotic treatment and patient adherence to its course in prevention of the development of resistance among microorganisms. We hope that increasing knowledge of the correct treatment will significantly reduce the proportion of resistant microorganisms.
Description
Artykuł z Dąsal, M. (2019). Acta Uroboroi–w kręgu epidemii II.