АНАЛИЗ ПРАКТИК НАЗНАЧЕНИЯ АНТИБИОТИКОВ В ПЕРВИЧНОМ ЗВЕНЕ ЗДРАВООХРАНЕНИЯ. ЧАСТЬ II. ОБЗОР ЛИТЕРАТУРЫ
DOI:
https://doi.org/10.34689/SH.2026.28.1.015Ключевые слова:
антимикробная резистентность , глобальная стратегия , рациональное использование антибиотиковАннотация
Введение: Антимикробная резистентность (АМР) представляет собой серьёзную глобальную угрозу для здоровья, требующую скоординированных международных стратегий для ограничения её распространения и последствий. Научные подходы, включая эпидемиологический надзор, разработку инновационных препаратов и программы рационального использования антибиотиков, имеют ключевое значение для решения биологической
сложности резистентности. В то же время экономические и социальные аспекты — такие как расходы на
здравоохранение, доступ к лекарствам и информированность населения — должны быть интегрированы в
глобальные усилия для достижения устойчивых решений.
Цель: Охарактеризовать глобальные стратегии, научные подходы и социально-экономические аспекты АМР.
Материалы и методы: Был проведён систематический обзор литературы с использованием рецензируемых публикаций из медицинских и общественно-здравоохранительных баз данных (PubMed, Google Scholar, EBSCO), а также отчётов ВОЗ, эпидемиологических данных и современных исследований по динамике AMR и практике
назначения антибиотиков. Анализ был сосредоточен на глобальных тенденциях с особым акцентом на Центральную Азию, включая Казахстан и сопредельные страны.
Результаты: Ограниченные системы надзора и непоследовательный сбор данных препятствуют точной оценке тенденций AMR в Казахстане и соседних государствах. Социально-экономические факторы, такие как самолечение, продажа антибиотиков без рецепта и низкая информированность населения, усугубляют проблему. Усиление программ рационального использования, совершенствование диагностики и расширение международного
сотрудничества имеют решающее значение для снижения распространения AMR.
Заключение: Полученные данные подчёркивают острую необходимость в согласованных глобальных
стратегиях, основанных на доказательной политике и адаптированных к региональному контексту мерах для предотвращения нерационального применения антибиотиков и укрепления системы надзора за резистентностью.
Для цитирования:
Зарпуллаев Н.Е., Юрковская О.А., Муканова Д.А., Кожахметова Д.К., Ботабаева А.С., Смаил Е.М., Шамшудинов Т.М., Кусаинова А.А., Дербисалина Г.А., Уразалина Н.М., Касым Л.Т., Кенжебаев А. Анализ практик назначения
антибиотиков в первичном звене здравоохранения. Часть II. Обзор литературы // Наука и Здравоохранение. 2026.
Vol.28 (1), С. 122-131. doi 10.34689/SH.2026.28.1.015
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Copyright (c) 2026 Нысан Зарпуллаев, Лаура, Найля Уразалина, Гульмира Дербисалина, Асия Кусаинова, Тимур Шамшудинов, Ербол Смаил, Айнур Ботабаева, Дана Кожахметова, Динара Муканова, Оксана Юрковская, Алем Кенжебаев (Автор)
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