Cu ocazia celebr\u0103rii Zilei Europene a Inform\u0103rii despre Antibiotice 2018 (ZEIA), Compartimentul de Promovarea S\u0103n\u0103t\u0103\u021bii din cadrul Direc\u021biei de S\u0103n\u0103tate Public\u0103 (DSP) Alba a organizat mai multe evenimente prin intermediul c\u0103rora s-au promovat mesaje precum „Utiliza\u021bi prudent antibioticele pentru protejarea s\u0103n\u0103t\u0103\u021bii dumneavoastr\u0103 \u0219i a comunit\u0103\u021bii” \u0219i „Utilizarea improprie \u0219i abuzul de antibiotice ne expun pe to\u021bi riscurilor pentru s\u0103n\u0103tate”.<\/b><\/p>\n
Astfel, Compartimentul de Promovare a S\u0103n\u0103t\u0103\u021bii a realizat mai multe workshop-uri cu asisten\u021bii medicali comunitari, care au diseminat informa\u021biile localnicilor din unit\u0103\u021bile administrativ-teritoriale din care provin. De asemenea, personalul medical al DSP a organizat activit\u0103\u021bi de educare, comunicare \u0219i informare \u00een comunit\u0103\u021bi, iar alte astfel de activit\u0103\u021bi au avut loc \u00een institu\u021bii de \u00eenv\u0103\u021b\u0103m\u00e2nt prin asisten\u021ba medical\u0103 \u0219colar\u0103. Totodat\u0103, reprezentan\u021bii DSP Alba au participat \u0219i la ac\u021biuni ini\u021biate de Direc\u021biile de Asisten\u021b\u0103 Social\u0103.<\/p>\n
Oamenii au fost informa\u021bi c\u0103 utilizarea excesiv\u0103 a antibioticelor ajut\u0103 bacteria s\u0103 devin\u0103 rezistent\u0103, anul\u00e2nd astfel eficien\u021ba tratamentului sau c\u0103 infec\u021biile rezistente la antibiotice pot duce la spitaliz\u0103ri mai lungi \u0219i costuri medicale mai mari. Oamenilor li s-a transmis, de asemenea, c\u0103 utilizarea antibioticelor c\u00e2nd nu sunt necesare accelereaz\u0103 apari\u021bia rezisten\u021bei la aceste medicamente.<\/p>\n
\n„C\u00e2nd bacteriile devin rezistente la antibiotice, infec\u021biile banale nu se vor mai putea trata. Antibioticele nu reprezint\u0103 \u00eentotdeauna solu\u021bia. Nu le utiliza\u021bi dac\u0103 medicul nu le recomand\u0103. Nu toate infec\u021biile pot fi tratate cu antibiotice”, au fost alte mesaje transmise.<\/p>\n<\/blockquote>\n<\/div>\n
Rezisten\u021ba la antimicrobiene (RAM) continu\u0103 s\u0103 amenin\u021be eficien\u021ba tratamentelor \u00eempotriva infec\u021biilor cauzate de bacterii, parazi\u021bi, virusuri \u0219i fungi. Ca ilustrare a gravit\u0103\u021bii fenomenului, \u00een 2016, 490 000 persoane au dezvoltat la nivel global forme de tuberculoze \u00a0(TB) multi-rezistente la medica\u021bia uzual\u0103, iar RAM \u00eencepe s\u0103 complice combaterea HIV \u0219i a malariei.<\/p>\n
Costul \u00eengrijirii medicale pentru pacien\u021bii infecta\u021bi cu microbi rezisten\u021bi este semnificativ mai ridicat prin durata mai lung\u0103 a bolii, test\u0103rilor suplimentare \u0219i nevoii de a recurge la medicamente mai scumpe. \u00cen particular, rezisten\u021ba la antibiotice (RAB) prive\u0219te bacteriile \u0219i unele specii de fungi, constituind con\u021binutul dominant al RAM. \u00cen contextul ZEIA, RAM va trimite aproape \u00eentotdeauna la RAB.<\/p>\n
Sporirea pruden\u0163ei \u00een utilizarea antibioticelor pentru a combate rezisten\u021ba antimicrobian\u0103 \u00a0\u2013\u00a0„acest tsunami t\u0103cut”\u00a0<\/i>(Cox D., 2015)\u00a0\u00a0<\/i>ce amenin\u021b\u0103 s\u0103n\u0103tatea public\u0103 mondial\u0103 – este \u021binta Zilei Europene\u00a0a Inform\u0103rii despre Antibiotice (ZEIA) \u00een fiecare 18 noiembrie.<\/p>\n
Tema campaniei ZEIA 2018 „Situa\u021bia \u00een anul 2018 a rezisten\u021bei la antimicrobiene (RAM)<\/i>\u00a0\u00een Rom\u00e2nia \u0219i Europa”,\u00a0<\/i>readuce \u00een fa\u021ba celor interesa\u021bi evolu\u021bia recent\u0103 a consumului de antibiotice (AB) \u0219i a rezisten\u021bei la antimicrobiene, adres\u00e2ndu-se publicului larg cu sloganul:\u00a0„Utiliza\u021bi prudent antibioticele pentru\u00a0 protejarea s\u0103n\u0103t\u0103\u021bii dumneavoastr\u0103 \u0219i a comunit\u0103\u021bii! \u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/i><\/p>\n
\u00cen UE de-a lungul intervalului 2013-16 s-au semnalat \u00eencetarea cre\u0219terii rezisten\u021bei\u00a0 bacteriei Klebsiella pneumoniae la majoritatea grupurilor antimicrobiene, dar \u0219i cre\u0219terea rezisten\u021bei la cefalosporine de genera\u021bie a 3-a \u0219i la aminoglicozide, precum \u0219i a rezisten\u021bei combinate la fluorochinolone, cefalosporine de genera\u021bia a 3-a \u0219i aminoglicozide a\u00a0 Escherichia coli. \u00cen general sc\u0103derea rezisten\u021bei la meticilin\u0103 a Staphylococcus aureus (MRSA) a continuat \u00een 2016, multe \u021b\u0103ri r\u0103m\u00e2n\u00e2nd \u00eens\u0103 la nivele \u00eenalte \u00een privin\u021ba rezisten\u021bei la antimicrobiene combinate. Rezisten\u021ba la carbapeneme \u0219i rezisten\u021ba combinat\u0103 la mai multe grupuri antimicrobiene a r\u0103mas r\u0103sp\u00e2ndit\u0103 la Acinetobacter.<\/p>\n
\u00cen privin\u021ba inform\u0103rii publicului, conform Eurobarometrului din aprilie 2016, circa 1\/3 dintre euro-responden\u021bi (la fel ca \u00een 2013) au utilizat \u00een ultimele 12 luni antibiotice \u00een form\u0103 oral\u0103, majoritatea femei \u0219i persoane mai pu\u021bin educate. Majoritatea au declarat c\u0103 au ob\u021binut antibiotice pe re\u021bet\u0103. Aproximativ 1\/3 s-au declarat informa\u021bi despre utilizarea abuziv\u0103 a antibioticelor (un procent ceva mai sc\u0103zut dec\u00e2t \u00een 2013).<\/p>\n
\u00cen Rom\u00e2nia 2013-16 rezisten\u021ba combinat\u0103 la cefalosporine genera\u0163ia a 3-a & fluorochinolone & aminoglicozide precum \u0219i la carbapeneme a Klebsiella p. s-a \u00eenr\u0103ut\u0103\u021bit; se men\u021bine un euronivel mediu privind rezisten\u021ba Escherichia c. la cefalosporinele de genera\u021bia a 3-a, dar se involueaz\u0103 \u00een privin\u021ba \u00a0aminoglicozidelor, cefalosporinelor de genera\u021bia a 3-a; \u00a0ne g\u0103sim \u00een eurogrupa cea mai rea at\u00e2t pentru MRSA c\u00e2t \u0219i pentru rezisten\u021ba combinat\u0103 la fluorochinolone, aminoglicozide \u0219i carbapeneme a Acinobacter; \u00een sf\u00e2r\u0219it Enterococcus f. involua \u00een privin\u021ba rezisten\u021bei la vancomicin\u0103.<\/p>\n
Global, situa\u021bia rezisten\u021bei la antibiotice – aflat\u0103 deja pe un euro-nivel dintre cele mai rele – continu\u0103 s\u0103 se degradeze.<\/p>\n
\u00cen 2011-16 consumul total de AB \u00een Rom\u00e2nia se men\u021bine la nivel \u00eenalt \u00een eurocontext, \u00een principal din cauza subgrupei J01(incluz\u00e2nd penicilinele): + 1\/3 fa\u021b\u0103 de media UE, cu o anumit\u0103 sc\u0103dere \u00een 2016 fa\u021b\u0103 de 2015.<\/p>\n
Diferen\u021bele regionale constatate \u00een 2016 privind rezisten\u021ba E. coli la fluorochinolone, respectiv la cefalosporine de genera\u021bia a 3-a ar\u0103ta c\u0103 Bucure\u0219tiul se g\u0103sea \u00een pozi\u021bie defavorabil\u0103 fa\u021b\u0103 de Transilvania \u0219i Banat (T+B) sau Moldova. Pentru K. pneumoniae, statisticile din 2016 ar\u0103tau c\u0103 \u00een T+B \u0219i Bucure\u0219ti rezisten\u021ba era cea mai ridicat\u0103 la cefalosporine de genera\u021bia a 3-a, fluorochinolone \u0219i carbapeneme, iar \u00een privin\u021ba MDR ordinea severit\u0103\u021bii era T+B, Moldova \u0219i Bucure\u0219ti. \u00cen privin\u021ba S. aureus, at\u00e2t MRSA c\u00e2t \u0219i rezisten\u021ba la rifampicin\u0103 \u00een T+B dep\u0103\u0219ea Bucure\u0219tiul \u0219i Moldova, cu valori mai ridicate MRSA peste tot.<\/p>\n
Ultimul sondaj (2016) sugera sc\u0103derea consumului de antibiotice, dar \u2013 \u00een ciuda unui mic progres \u2013 men\u021binerea \u00eentr-o europozi\u021bie defavorabil\u0103 \u00een privin\u021ba procur\u0103rii AB exclusiv pe rete\u021b\u0103 medical\u0103.<\/p>\n
\nSitua\u021bia schi\u021bat\u0103 mai sus arat\u0103 de ce eforturile pentru \u00eenr\u0103d\u0103cinarea \u00een con\u0219tiin\u021ba public\u0103 a consumului ra\u021bional de antibiotice (numai pe re\u021bet\u0103) trebuie intensificate \u2013 ca factor important pe termen mediu (primele progrese \u00eencep s\u0103 apar\u0103) pentru corectarea situa\u021biei defavorabile RAM \u00een \u021bara noastr\u0103.<\/p>\n<\/div>\n
\nBiroul de pres\u0103 al DSP Alba\u00a0<\/em><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
Cu ocazia celebr\u0103rii Zilei Europene a Inform\u0103rii despre Antibiotice 2018 (ZEIA), Compartimentul de Promovarea S\u0103n\u0103t\u0103\u021bii din cadrul Direc\u021biei de S\u0103n\u0103tate Public\u0103 (DSP) Alba a organizat mai multe evenimente\u2026<\/p>\n","protected":false},"author":17,"featured_media":3748,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[255],"tags":[2111,16655,308,76,16656,16654],"localitate":[],"class_list":["post-69366","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sanatate","tag-dsp-alba","tag-protejarea-sanatatii","tag-stiri","tag-urbea-mea","tag-utilizarea-antibioticelor","tag-ziua-europeana-a-informarii-despre-antibiotice"],"_links":{"self":[{"href":"https:\/\/urbeamea.ro\/alba\/wp-json\/wp\/v2\/posts\/69366","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/urbeamea.ro\/alba\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/urbeamea.ro\/alba\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/urbeamea.ro\/alba\/wp-json\/wp\/v2\/users\/17"}],"replies":[{"embeddable":true,"href":"https:\/\/urbeamea.ro\/alba\/wp-json\/wp\/v2\/comments?post=69366"}],"version-history":[{"count":0,"href":"https:\/\/urbeamea.ro\/alba\/wp-json\/wp\/v2\/posts\/69366\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/urbeamea.ro\/alba\/wp-json\/wp\/v2\/media\/3748"}],"wp:attachment":[{"href":"https:\/\/urbeamea.ro\/alba\/wp-json\/wp\/v2\/media?parent=69366"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/urbeamea.ro\/alba\/wp-json\/wp\/v2\/categories?post=69366"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/urbeamea.ro\/alba\/wp-json\/wp\/v2\/tags?post=69366"},{"taxonomy":"localitate","embeddable":true,"href":"https:\/\/urbeamea.ro\/alba\/wp-json\/wp\/v2\/localitate?post=69366"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}