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 SM ISO690:2012EŢCO, Ludmila, MARIN, Serghei, RAILEAN, Ludmila, MARINA, Ala, ANTON, Ludmila. Bazele supravegherii rezistenţei la antibiotice a microorganismelor şi organizarea sistemului conceptual de utilizare a preparatelor antibacteriene. In: Sănătate Publică, Economie şi Management în Medicină , 2008, nr. 2(24), pp. 41-45. ISSN 1729-8687. |
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| Sănătate Publică, Economie şi Management în Medicină | ||||||
| Numărul 2(24) / 2008 / ISSN 1729-8687 /ISSNe 2587-3873 | ||||||
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| Pag. 41-45 | ||||||
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| Rezumat | ||||||
Permanently extending use of antimicrobial chemicals generates a number of serious problems. The most topical of them is a massive, irrational and often ungrounded administration
of antibacterial medication which leads to the selection of microorganism cultures resistant to antibiotics. In this way, treatment becomes inefficient, the period of hospitalization extends significantly, the amount of applied medications
and medical procedures increases – factors which, correspondingly, condition the cost of treatment to go up.
Taking into consideration that antibiotics are most intensely used in child and obstetrical hospital departments, there is a pressing need for developing and implementing some basic principles of their use which should become the restrictive
mechanism for the formation of antibiotic resistance.
The development and implementation of such policy would allow for a higher quality of healthcare services offered to patients, decrease treatment expenses, as well as prevent the generation and spreading of poly-resistant nosocomial
cultures, which is a significantly positive factor for the national health and for medical institutions’ budgets.
The work carried out allows us to recommend a rational approach to antibacterial therapy with the administration, at the initial treatment stage, of the most efficient antibiotics of choice, and, ultimately, a correction by means of reserve
medications based on laboratory data and the clinical finding.
We also suggest soundly determining the types and amount of antibiotics of choice and reserve to be purchased, taking into account their efficiency and cost, which will ensure a qualitative and, at the same time, economical use of antibacterial therapy; as well as constantly monitoring antibiotic resistance of microorganisms isolated from
patients with different diagnoses for an operative specification of the list of antibiotics of choice and
reserve antibiotics recommended. |
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