{"id":5608,"date":"2011-11-18T17:00:00","date_gmt":"2011-11-18T19:00:00","guid":{"rendered":"https:\/\/www.silutesnaujienos.lt\/lt\/antibiotikus-vartokite-tinkamai\/"},"modified":"2011-11-18T17:00:00","modified_gmt":"2011-11-18T19:00:00","slug":"antibiotikus-vartokite-tinkamai","status":"publish","type":"post","link":"https:\/\/www.silutesnaujienos.lt\/lt\/antibiotikus-vartokite-tinkamai\/","title":{"rendered":"Antibiotikus vartokite tinkamai"},"content":{"rendered":"

\"285891-25114-56\"<\/a>Vakar Lietuvoje jau ketvirtus metus i\u0161 eil\u0117s min\u0117ta Europos supratimo apie antibiotikus diena. \u0160i diena Europos min\u0117tin\u0173 dien\u0173 kalendoriuje atsirado, nes bakterij\u0173 atsparumo antibiotikams problema nema\u017e\u0117ja – pastaraisiais metais kai kuri\u0173 bakterij\u0173 atsparumas paskutiniams efektyviems antibiotikams dramati\u0161kai did\u0117ja.<\/strong><\/p>\n

Jau prie\u0161 kelis metus skelbtas nerimas d\u0117l to, kad visuomen\u0117 gali v\u0117l likti beginkl\u0117 prie\u0161 infekcijas, kaip iki antibiotik\u0173 atradimo – tampa realia gr\u0117sme.<\/p>\n

Pagrindin\u0117 \u0161io rei\u0161kinio prie\u017eastis – gausus ir neteisingas antibiotik\u0173 vartojimas.<\/p>\n

Lietuviai m\u0117gsta gydytis patys<\/strong><\/p>\n

Europos lig\u0173 prevencijos ir kontrol\u0117s centras akcentuoja, kad kiekvienas pilietis – gydytojas, skiriantis antibiotikus, sveikatos politikas, planuojantis ir \u012fgyvendinantis strategijas, gyventojas, vartojantis antibiotikus, turi prisiimti atsakomyb\u0119 d\u0117l \u0161i\u0173 vaist\u0173  efektyvumo i\u0161saugojimo. Taigi ar kiekvienas supranta \u0161ios problemos aktualum\u0105 bei jos svarb\u0105?<\/p>\n

2006 m. Europoje atliktas savigydos antibiotikais tyrimas parod\u0117, kad Lietuvoje 22 proc. gyventoj\u0173 gyd\u0117si antibiotikais patys ir tai buvo did\u017eiausias savigydos rodiklis i\u0161 19 tyrime dalyvavusi\u0173 \u0161ali\u0173. Lietuvoje 2009 m. pakartojus tyrim\u0105, nustatyta, kad savigydos paplitimas suma\u017e\u0117jo iki 8 proc., ta\u010diau palyginti su kitomis Europos S\u0105jungos \u0161alimis, \u0161is rodiklis i\u0161lieka gana auk\u0161tas – Skandinavijos \u0161alyse, Olandijoje ir kitose pa\u017eangiose \u0161ioje srityje \u0161alyse savigyd\u0105 antibiotikais pripa\u017eino tik vienas i\u0161 \u0161imto ar vienas i\u0161 dviej\u0173 \u0161imt\u0173 gyventoj\u0173. Tai rodo, jog \u017eini\u0173 apie racionalaus antibiotik\u0173 vartojimo svarb\u0105 ir neteisingo antibiotik\u0173 vartojimo \u017eal\u0105 Lietuvos gyventojams tr\u016bksta ir b\u016btina skleisti informacij\u0105 ne tik medikams, bet ir visuomenei.<\/p>\n

Tyrimais \u012frodyta, kad antimikrobinio atsparumo did\u0117jimas tiesiogiai susij\u0119s su neteisingu ir gausiu antimikrobini\u0173 vaist\u0173 vartojimu. Be to, \u0161i\u0173 vaistini\u0173 preparat\u0173 neteisingas vartojimas gali pakenkti ne tik juos vartojan\u010di\u0173 asmen\u0173, bet ir kit\u0173 \u017emoni\u0173 sveikatai, nes atsparios bakterijos lengvai plinta ir gali b\u016bti perduodamos nuo vien\u0173 \u017emoni\u0173 kitiems.<\/p>\n

Bakterijos vis atsparesn\u0117s antibiotikams<\/strong><\/p>\n

Higienos instituto Visuomen\u0117s sveikatos technologij\u0173 centro vadov\u0117 dr. Rolanda Valint\u0117lien\u0117 sako, jog jau XX am\u017eiaus pabaigoje antimikrobinis atsparumas antibiotikams kai kuriose pasaulio valstyb\u0117se pasiek\u0117 tok\u012f lyg\u012f, kad mokslininkai ir praktikai, \u012fvertin\u0119 atsparumo augimo tempus ir nauj\u0173 antibiotik\u0173 suk\u016brimo galimybes, pagr\u012fstai sunerimo d\u0117l galimos „antibiotik\u0173 eros” pabaigos.<\/p>\n

Vienas i\u0161 da\u017eniausi\u0173 infekcij\u0173 suk\u0117l\u0117j\u0173 yra auksinis stafilokokas. Jo atsparumo da\u017enis penicilin\u0173 grup\u0117s preparatams centrin\u0117s Europos \u0161alyse nuo 1990 m. iki 2001 m. padid\u0117jo nuo 1,7 proc. iki 20,3 proc., o kai kuriose piet\u0173 Europos \u0161alyse ir Jungtin\u0117je Karalyst\u0117je pasiek\u0117 40 proc.<\/p>\n

Lietuvoje, pagal Europos antimikrobinio atsparumo steb\u0117jimo sistemos duomenis, meticilinui atspari\u0173 stafilokok\u0173 padermi\u0173 (MRSA) da\u017enumas nuo 2007 m. iki 2010 m. padid\u0117jo nuo 9 proc. iki 14 proc.<\/p>\n

Palyginti su kit\u0173 \u0161ali\u0173 2010 met\u0173 duomenimis, Lietuva lenkia visas artimiausias kaimynes – Latvij\u0105, Estij\u0105, Skandinavijos \u0161alis.<\/p>\n

N\u0117ra gera situacija Lietuvoje ir su kitomis ligonin\u0117se plintan\u010diomis bakterijomis, galin\u010diomis sukelti plau\u010di\u0173 u\u017edegim\u0105, seps\u012f – pseudomonais ir klebsiel\u0117mis. Pavyzd\u017eiui, pastaraisiais metais pseudomon\u0173 atsparumas paskutin\u0117s kartos antibiotikams (karbapenemams) padid\u0117jo iki 27 proc.<\/p>\n

Kiekvienas atsakingas, kad antibiotikai b\u016bt\u0173 efektyv\u016bs<\/strong><\/p>\n

„Bakterij\u0173 atsparum\u0105 antimikrobiniams vaistams lemia daugelis prie\u017eas\u010di\u0173: virusini\u0173 infekcij\u0173 gydymas antibiotikais, netikslinga profilaktika, neteisingas vaist\u0173 parinkimas, dozavimas, gydymo trukm\u0117, savigyda. Taip pat reikia nepamir\u0161ti ir atspari\u0173 padermi\u0173 paplitim\u0105 lemian\u010di\u0173 prie\u017eas\u010di\u0173, pavyzd\u017eiui, mikroorganizmai savo genetin\u0119 informacij\u0105 gali perduoti kitos r\u016b\u0161ies mikrobams, taip pat atspar\u016bs mikrobai gali b\u016bti perduodami nuo \u017emogaus \u017emogui, net perve\u017eami i\u0161 vienos \u0161alies \u012f kit\u0105.<\/p>\n

Ta\u010diau imantis prevencini\u0173 priemoni\u0173, tinkamai jas vykdant, galima suma\u017einti atspari\u0173 mikroorganizm\u0173 paplitim\u0105, kaip tai rodo kai kuri\u0173 \u0161ali\u0173 patirtis.<\/p>\n

Pavyzd\u017eiui, \u012fdiegus grie\u017etesn\u0119 infekcij\u0173 plitimo kontrol\u0119 ligonin\u0117se Jungtin\u0117je Karalyst\u0117je, pasiektas stafilokok\u0173 atsparumo ma\u017e\u0117jimas, nutraukus kompensavim\u0105 kai kuri\u0173 plataus spektro antibiotik\u0173 Slov\u0117nijoje, suma\u017e\u0117jo kv\u0117pavimo tak\u0173 suk\u0117l\u0117j\u0173 (pneumokok\u0173) atsparumas.<\/p>\n

Did\u017eiausi\u0105 pa\u017eang\u0105 pastaraisiais metais padar\u0117 Pranc\u016bzija – valstyb\u0117s finansuota plati nacionalin\u0117 kampanija, racionalaus antibiotik\u0173 vartojimo rekomendacij\u0173 \u012fdiegiamas, greit\u0173 diagnostikos test\u0173 kompensavimas dav\u0117 matom\u0173 rezultat\u0173 – ne tik suma\u017e\u0117jo antibiotik\u0173 vartojimas (Pranc\u016bzija buvo Europos „lyder\u0117”), bet ir prad\u0117jo ma\u017e\u0117ti bakterij\u0173 atsparumas”, – pasakojo apie problemos aktualum\u0105 ir jos sprendimo galimybes dr. R.Valint\u0117lien\u0117.<\/p>\n

Dr. R.Valint\u0117lien\u0117 pripa\u017eino, Lietuvoje kol kas n\u0117ra daug iniciatyv\u0173 teisingo antibiotik\u0173 vartojimo diegimo srityje, ta\u010diau \u0161iai problemai pradedama skirti vis daugiau d\u0117mesio.<\/p>\n

Kiekvienas m\u016bs\u0173 yra atsakingas, kad antibiotikai b\u016bt\u0173 efektyv\u016bs: naudoti antibiotikus tik gydytojui paskyrus ir laikytis jo nurodym\u0173, nelaikyti antibiotik\u0173 liku\u010di\u0173 savigydai bei nepamir\u0161ti, kad antibiotikai gydo tik bakterij\u0173 sukeltas ligas, o ne virusines infekcijas – per\u0161alim\u0105, grip\u0105.<\/p>\n","protected":false},"excerpt":{"rendered":"

Vakar Lietuvoje jau ketvirtus metus i\u0161 eil\u0117s min\u0117ta Europos supratimo apie antibiotikus diena. \u0160i diena Europos min\u0117tin\u0173 dien\u0173 kalendoriuje atsirado, nes bakterij\u0173 atsparumo antibiotikams problema nema\u017e\u0117ja – pastaraisiais metais kai kuri\u0173 bakterij\u0173 atsparumas paskutiniams efektyviems antibiotikams dramati\u0161kai did\u0117ja. Jau prie\u0161 kelis metus skelbtas nerimas d\u0117l to, kad visuomen\u0117 gali v\u0117l likti beginkl\u0117 prie\u0161 infekcijas, kaip […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[],"class_list":["post-5608","post","type-post","status-publish","format-standard","category-sveikatos-saltinis"],"yoast_head":"\nAntibiotikus vartokite tinkamai - \u0160ilut\u0117s naujienos<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.silutesnaujienos.lt\/lt\/antibiotikus-vartokite-tinkamai\/\" \/>\n<meta property=\"og:locale\" content=\"lt_LT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Antibiotikus vartokite tinkamai - \u0160ilut\u0117s naujienos\" \/>\n<meta property=\"og:description\" content=\"Vakar Lietuvoje jau ketvirtus metus i\u0161 eil\u0117s min\u0117ta Europos supratimo apie antibiotikus diena. \u0160i diena Europos min\u0117tin\u0173 dien\u0173 kalendoriuje atsirado, nes bakterij\u0173 atsparumo antibiotikams problema nema\u017e\u0117ja – pastaraisiais metais kai kuri\u0173 bakterij\u0173 atsparumas paskutiniams efektyviems antibiotikams dramati\u0161kai did\u0117ja. 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