[Ecological niche altering: bacterial resistance to antibiotics].
The antimicrobial resistances to antibiotics are a worldwide public health issue. Today's successful treatments of infections are threatened. If the antimicrobial resistances to antibiotics are not controlled, morbidity, mortality and health care costs would increase. The main reason for the increasing number of these resistances is the wrong use of antibiotics by: health professional prescriptors (physicians, dentists, veterinary surgeons), dispensers (pharmacists), patients (self-prescription, non-fulfillment of treatments) and health care authorities (lack of policy and ineffective management of the rational use of antibiotics). There are multiple ways to solve this problem, but none is definitive by itself. It is required to assume the coexistence with microorganisms instead of trying to exterminate them.
Centro de Salud Canillejas, Servicio Madrileño de Salud 4, Secretario de la Red Española de Atención Primaria, Madrid, España. rpastors@meditex.es
Raimundo
R
Pastor-Sánchez
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001419:Bacteria / Q000187:drug effects / Q000235:genetics; D001424:Bacterial Infections / Q000188:drug therapy / Q000382:microbiology / Q000517:prevention & control; D002648:Child; D004352:Drug Resistance, Microbial / Q000235:genetics; D004363:Drug Utilization; D004463:Ecology; D005544:Forecasting; D006300:Health Services Misuse / Q000706:statistics & numerical data; D006802:Human Activities; D006801:Humans; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000706:statistics & numerical data; D011634:Public Health; D012641:Selection, Genetic; D013030:Spain / Q000453:epidemiology; D019564:Unnecessary Procedures
D000900:Anti-Bacterial Agents