ABSTRACT

Introduction: Antibiotic resistance is a substantial cause of mortality, morbidity burden in Bangladesh. In this perspective piece, the problem of antibiotic resistance has been analyzed by critically evaluating literature data, and based on the author’s experience.

Areas covered: The underlying causes of this resistance are numerous including irrational and inappropriate use of antibiotics aggravated by aggressive marketing, over-the-counter dispensing, prescribing by the unqualified providers, lack of awareness in the general population, and inadequate implementation of relevant regulations.

Expert opinion: Although Bangladesh is making some progress toward containing antibiotic resistance, the pace of this progress is insufficient. Public awareness is crucial for the full implementation of the regulations. Given that it is more a social than a medical problem, the health sector is unable to tackle the problem on its own. An integrated approach is required that identifies the roles and relative importance of each sector (human, animal, and environment). A set of recommendations has been provided for the government to act.

摘要

简介: 抗生素耐药性是孟加拉国死亡和发病负担的重要原因。在这篇透视文章中，通过批判性评估文献数据并基于作者的经验，对抗生素耐药性问题进行了分析。

涵盖的领域：造成这种耐药性的根本原因很多，包括因积极营销、非处方配药、不合格的提供者开处方、普通人群缺乏认识以及相关法规执行不力而加剧的不合理和不适当使用抗生素.

专家意见：虽然孟加拉国在遏制抗生素耐药性方面取得了一些进展，但进展速度还不够。公众意识对于法规的全面实施至关重要。鉴于它更多是一个社会问题而不是一个医疗问题，卫生部门无法独自解决这个问题。需要一种综合方法来确定每个部门（人类、动物和环境）的作用和相对重要性。已经提供了一系列建议供政府采取行动。