合理使用抗生素

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合理、精准使用抗菌药物 破解耐药危机
Ren Min Wang· 2025-07-17 03:02
Core Viewpoint - Antimicrobial resistance, particularly carbapenem-resistant Acinetobacter baumannii (CRAB), poses a significant threat to public health, especially in intensive care units (ICUs) where the detection rate can reach 77.8% [2][3] Group 1: Overview of CRAB - CRAB is a multi-drug resistant pathogen that primarily causes hospital-acquired infections and is recognized as a "superbug" due to its ability to resist multiple classes of antibiotics [2][3] - The evolution of CRAB is attributed to antibiotic misuse, leading to the development of various defense mechanisms such as biofilm formation, enzyme secretion to degrade antibiotics, and rapid gene transfer among bacteria [2][3] Group 2: Clinical Implications - Early identification and treatment of CRAB infections are crucial for reducing mortality rates, with a focus on selecting effective antibiotics based on the specific pathogen involved [3][4] - A case study highlighted the challenges in treating a 60-year-old male patient with multi-organ failure due to CRAB, emphasizing the need for innovative diagnostic and therapeutic approaches [4] Group 3: Prevention and Public Awareness - The public is advised against the indiscriminate use of antibiotics, as not all fevers are caused by bacterial infections, and proper diagnosis is essential for effective treatment [5][6] - Preventive measures include hand hygiene, social distancing during flu seasons, and the importance of professional medical advice before using antibiotics [5][6]