| Autor: |
Nardulli P; S.C. Farmacia e UMACA IRCCS Istituto Tumori 'Giovanni Paolo II', Viale O. Flacco 65, 70124 Bari, Italy., Ballini A; Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy., Zamparella M; Local Health Authority ASL/BA, 70125 Bari, Italy., De Vito D; Department of Translational Biomedicine and Neuroscience, Medical School, University Aldo Moro of Bari, 70124 Bari, Italy. |
| Jazyk: |
angličtina |
| Zdroj: |
Microorganisms [Microorganisms] 2023 Nov 17; Vol. 11 (11). Date of Electronic Publication: 2023 Nov 17. |
| DOI: |
10.3390/microorganisms11112797 |
| Abstrakt: |
The increasing misuse of antibiotics in human and veterinary medicine and in agroecosystems and the consequent selective pressure of resistant strains lead to multidrug resistance (AMR), an expanding global phenomenon. Indeed, this phenomenon represents a major public health target with significant clinical implications related to increased morbidity and mortality and prolonged hospital stays. The current presence of microorganisms multi-resistant to antibiotics isolated in patients is a problem because of the additional burden of disease it places on the most fragile patients and the difficulty of finding effective therapies. In recent decades, international organizations like the World Health Organization (WHO) and the European Centre for Disease Prevention and Control (ECDC) have played significant roles in addressing the issue of AMR. The ECDC estimates that in the European Union alone, antibiotic resistance causes 33,000 deaths and approximately 880,000 cases of disability each year. The epidemiological impact of AMR inevitably also has direct economic consequences related not only to the loss of life but also to a reduction in the number of days worked, increased use of healthcare resources for diagnostic procedures and the use of second-line antibiotics when available. In 2015, the WHO, recognising AMR as a complex problem that can only be addressed by coordinated multi-sectoral interventions, promoted the One Health approach that considers human, animal, and environmental health in an integrated manner. In this review, the authors try to address why a collaboration of all stakeholders involved in AMR growth and management is necessary in order to achieve optimal health for people, animals, plants, and the environment, highlighting that AMR is a growing threat to human and animal health, food safety and security, economic prosperity, and ecosystems worldwide. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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