ppharmПедиатрическая фармакологияPediatric pharmacology1727-57762500-3089Издательство «ПедиатрЪ»10.15690/pf.v14i6.1834ppharm-1580Research ArticleВ ПРАКТИКУ ПЕДИАТРАFor Pediatricians' PracticeНерациональное использование антибиотиков в медицине: кризис антибиотикорезистентности, и что мы можем сделатьIrrational Use of Antibiotics in Medicine: Crisis of Antibiotic Resistance and what We Can Dohttps://orcid.org/0000-0001-7222-6760ИльинаС. В.IlyinaSvetlana V.

доктор медицинских наук, заведующая кафедрой детских инфекционных болезней Иркутского государственного медицинского университета

Адрес: 664043, Иркутск, ул. Маршала Конева, д. 90, к. 4, тел.: +7 (3952) 30-04-46

dr_ilina@yahoo.comИркутский государственный медицинский университетРоссияFederal State-Funded Educational Institution of Higher Education «Irkutsk State Medical University» of the Ministry of Health of RussiaRussian Federation201729012018146508514Copyright © Ильина С.В., 20182018Ильина С.В.Ilyina S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.pedpharma.ru/jour/article/view/1580

Избыточное использование антибиотиков в клинической практике не только увеличивает стоимость лечения и создает риск нежелательных побочных эффектов, но и ведет к росту  резистентности микроорганизмов. Эта проблема является глобальной и от ее решения зависит,  сможет ли человечество в дальнейшем эффективно бороться с бактериальной инфекцией. В  статье представлен краткий обзор основных ситуаций нерационального назначения  антибиотиков в педиатрии и причин, по которым врачи назначают антибиотики, когда они не  нужны. На основании анализа источников литературы предложены некоторые стратегии  борьбы с избыточным назначением антибиотиков и сформулированы обобщенные правила  рациональной антибиотикотерапии для врачей и пациентов.

Antibiotic overuse in clinical practice not only leads to an increased amount of healthcare costs and a risk of side effects, but also causes an increase of antimicrobial resistance. This is a global problem and an  effective fight bacterial infection depends on its solution. This article  provides a brief overview of the primary situations of irrational antibiotic use among pediatric population and the reasons why doctors  overprescribe antibiotic. The literature based strategies for antibiotics  restrictions are proposed and some generalized rules for a rational antibiotic therapy for physicians and for patients are formulated.

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The authors declare that there are no conflicts of interest present.