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“This is not the future, this is already the present”: for which bacteria there will soon be no drugs

Pharmacologist Dehnich explained where "superbugs" come from

How pronounced is the problem of antibiotic resistance in Russia, what bacterial infections are almost impossible to deal with today, where do “superbugs” come from, why you can’t drink antibiotics to prevent bacterial complications in ARVI, and what long-term consequences uncontrolled antibiotic use can lead to, Gazeta.Ru told Andrey Dekhnich, Deputy Director for Research at the Research Institute of Antimicrobial Chemotherapy, Smolensk State Medical University of the Ministry of Health, clinical pharmacologist.

 
 
 

– According to recent statistics from the Ministry of Health , half of Russians take antibiotics incorrectly and are at risk of developing antibiotic resistance – including because they take medicines without a doctor’s prescription. How pronounced is the problem of bacterial resistance to antibiotics in  Russia ?

The problem of antibiotic resistance is expressed all over the world. And I don’t think that in Russia it was the over-the-counter sale of antibiotics that played the main role. Our outpatient consumption of antibiotics is no higher than in other countries with a developed healthcare system.

It must be understood that antibiotic resistance knows no boundaries.

Therefore, problems that may initially appear in countries with suboptimal health systems then reach more developed countries. A typical example is when microbes appeared in  India that produce the enzyme carbapenemase NDM-1, which leads to the development of resistance to carbapenems, the last line antibiotics for the treatment of the most severe infections. As a result, the problem was faced in Europe, they began to understand and found out that India became the source of resistant bacteria.

How pronounced is the problem of antibiotic resistance in Russia, what bacterial infections are almost impossible to deal with today, where do “superbugs” come from, why you can’t drink antibiotics to prevent bacterial complications in ARVI, and what long-term consequences uncontrolled antibiotic use can lead to, Gazeta.Ru told Andrey Dekhnich, Deputy Director for Research at the Research Institute of Antimicrobial Chemotherapy, Smolensk State Medical University of the Ministry of Health, clinical pharmacologist.

 
 
 

– According to recent statistics from the Ministry of Health , half of Russians take antibiotics incorrectly and are at risk of developing antibiotic resistance – including because they take medicines without a doctor’s prescription. How pronounced is the problem of bacterial resistance to antibiotics in  Russia ?

The problem of antibiotic resistance is expressed all over the world. And I don’t think that in Russia it was the over-the-counter sale of antibiotics that played the main role. Our outpatient consumption of antibiotics is no higher than in other countries with a developed healthcare system.

It must be understood that antibiotic resistance knows no boundaries.

Therefore, problems that may initially appear in countries with suboptimal health systems then reach more developed countries. A typical example is when microbes appeared in  India that produce the enzyme carbapenemase NDM-1, which leads to the development of resistance to carbapenems, the last line antibiotics for the treatment of the most severe infections. As a result, the problem was faced in Europe, they began to understand and found out that India became the source of resistant bacteria.

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