2003, Number 1
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An Med Asoc Med Hosp ABC 2003; 48 (1)
Antibiotic resistance, public health problem
Rivera-Tapia JA
Language: English
References: 50
Page: 42-47
PDF size: 61.53 Kb.
ABSTRACT
Antibiotic resistance has become a major clinical and public health problem within the lifetime of most people living today. Confronted by increasing amounts of antibiotics over the past 50 years, bacteria have responded to the deluge with the propagation of progeny no longer susceptible to them. While it is clear that antibiotics are pivotal in the selection of bacterial resistance, the spread of resistance genes and of resistant bacteria also contributes to the problem. Selection of resistant forms can occur during or after antimicrobial treatment, antibiotic residues can be found in the environment for long periods of time after treatment. Beside antibiotics, there is the mounting use of other agents aimed at destroying bacteria, namely the surface antibacterials now available in many household products. These too enter the environment. The stage is thus set for an altered microbial ecology, not only in terms of resistant versus susceptible bacteria, but also in terms of the kinds of microorganisms surviving.
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