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Review
. 2018 Sep;31 Suppl 1(Suppl 1):23-26.

Changes in bacterial hospital epidemiology

M I Morosini, R Cantón  1
Affiliations
Review

Changes in bacterial hospital epidemiology

M I Morosini et al. Rev Esp Quimioter. 2018 Sep.

Abstract
in English, Spanish

Antibiotics' use and prescription requires a profound review, as their inadequate administration has been one of the main forces leading to resistance as a result of overuse and misuse. Resistance is particularly challenging in nosocomial environments in which there has been a gradual change in bacterial epidemiology owing to the continuous increase of multi-drug-resistant isolates, which imply a threat to prevent and cure infections. Expertise at the time of using antibiotics, development of new diagnostic tools and the possibility of having new antimicrobials are required to stay ahead of evolving resistance. Moreover, surveillance is also relevant to monitor antimicrobial resistance.

El uso y la prescripción de antibióticos requiere una revisión profunda ya que la administración inadecuada ha sido una de las causas más importantes de la resistencia, como resultado del empleo excesivo e inadecuado de los mismos. La resistencia es un problema particularmente desafiante en el ambiente hospitalario en el cual ha habido un cambio gradual de la epidemiología bacteriana debido al aumento continuo de aislamientos multirresistentes, lo que implica una amenaza para la prevención y curación de las infecciones. El conocimiento adecuado de los antibióticos, el desarrollo de nuevas técnicas de diagnóstico y la posibilidad de disponer de nuevos antimicrobianos son necesarios para adelantarnos a la evolución de la resistencia. Asimismo, los estudios de vigilancia son relevantes para la monitorización de la resistencia a los antimicrobianos.

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