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Analogue of ampicillin, is a semisynthetic antibiotic with essentially the all patients who present agar (Biokar®) were prepared and sterilized according to the manufacturers’ instructions. Another drug and may not reflect the rates.

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Ralph and Marian Falk Medical Research Trust Awards Program,

the

Takeda Science Foundation, the Mitsubishi Foundation award, and AMED JP19fk0210037, JP19bm0704025, JP19fk0210060, JP19bm0404045 and JSPS JP18H02800,19K22416.

Media Contact Tim Bonfield [email protected] The Open Biotechnology Journal. Online Submission Submit Abstract Online Submit Issue Proposal Aims and Scope Abstracted / Indexed in View Published Contents.

New Journal Website Journal Home Editorial Board Board Recruitment Workflow Instructions for Authors Plagiarism Prevention Editorial Policies Publishing Ethics and Rectitude Quick Track Option Reviewer Guidelines Peer Review Workflow Guidelines for Guest Editors Publication Fee

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Antimicrobials Misuse/Overuse: Adverse Effect, Mechanism, Challenges and Strategies to Combat Resistance. Mittal 1 , 2 , * , Rohit Bhardwaj 1 , Priya Mishra 3 , Satyendra K.

Overuse and misuse of antibiotics are the first risk factors for the development of antibiotics resistance. Inadequate professional competence of health care physicians might worsen the complications associated with antibiotics resistance. Antibiotic resistance is a global issue; however, the epicenter of this misfortune is Asian regions due to the easy accessibility of the strongest antibiotics without prescriptions or diagnoses.

High effectiveness and easy accessibility of antibiotics lead to overuse/misuse and encouraging bacteria to develop the resistance.

The over-usage and mis-usage of antibiotics are antibiotic abuse, which increase the potentially serious impact on human health.

Bestowing to WHO guidelines, the resistance has led to spread worldwide and classifying resistance is a serious health problem.

Furthermore, resistance claims uncertainty to predict the future.

This review summarizes the major antibiotics involved in drug resistance, mechanism, prescribed dosage with a disease condition, proposed policies and guidelines to combat antibiotic resistance associated problems.

Identifiers and Pagination: Article History: © 2020 Mittal et al . open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. * Address correspondence to this author at the Amity Institute of Pharmacy (AIP), Lab no-G-01, Block-L-1, Amity Institute of Pharmacy, Amity University, Noida, Uttar Pradesh (UP), India -201313; Tel: 0120-4735655; E-mail: akmittal@amity.edu; amitkrbiotech@gmail.com. Open Peer Review Details Manuscript submitted on 3-3-2020 Original Manuscript Antimicrobials Misuse/Overuse: Adverse Effect, Mechanism, Challenges and Strategies to Combat Resistance. Antimicrobial Resistance (AMR) has emerged as a major risk to public health estimated to cause 1 crore deaths annually by 2050 [ 1 Dixit A, Kumar N, Kumar S, Trigun V.

Antimicrobial resistance: Progress in the decade since emergence of New Delhi metallo-?-lactamase in India. Annually, more than 50,000 newborns die from sepsis due to resistance against first-line antibiotics [ 1 Dixit A, Kumar N, Kumar S, Trigun V. Antimicrobial resistance: Progress in the decade since emergence of New Delhi metallo-?-lactamase in India. Carbapenem resistance in Klebsiella pneumoniae due to the New Delhi Metallo-?-lactamase.

[http://dx.doi.org/10.1093/cid/ciq178] [PMID: 21258100] ].

The overuse and misuse of antibiotics are vital issues contributing to the development of antibiotic resistance, causing potentially serious effects on human health [ 3 de Carvalho CC, Caramujo MJ.

Ancient procedures for the high-tech World: health benefits and antimicrobial compounds from the Mediterranean Empires.

Open Biotechnol J 2008; 2(1) [http://dx.doi.org/10.2174/1874070700802010235] ].

Several countries are facing the emergence of drug-resistant bacteria, which are completely resistant to available antibiotics. Most of the countries are preparing a country-specific action plan for the management of AMR globally, according to WHO guidelines [ 1 Dixit A, Kumar N, Kumar S, Trigun V.

Antimicrobial resistance: Progress in the decade since emergence of New Delhi metallo-?-lactamase in India. Carbapenem resistance in Klebsiella pneumoniae due to the New Delhi Metallo-?-lactamase.

[http://dx.doi.org/10.1093/cid/ciq178] [PMID: 21258100] ]. Asian countries have the largest burdens of drug-resistant strains worldwide [ 4 Porter G, Grills N.

Medication misuse in India: A major public health issue in India. [http://dx.doi.org/10.1093/pubmed/fdv072] [PMID: 26060236] ].

Furthermore, India is one of the major consumers of antibiotics in the world and their overuse and misuse are rambling [ 4 Porter G, Grills N. Medication misuse in India: A major public health issue in India.

[http://dx.doi.org/10.1093/pubmed/fdv072] [PMID: 26060236] ].

Besides, India is at one of the top rates of resistance against antimicrobials that are used for the treatment of humans and farm animals [ 5 Van Boeckel TP, Brower C, Gilbert M, et al. Global trends in antimicrobial use in food animals.

[http://dx.doi.org/10.1073/pnas.1503141112] [PMID: 25792457] ]. Currently, antibiotics are also utilizing against the treatment of several species of fungi and protozoans infections, but the impact of these is very toxic to humans and animals [ 6 Waksman SA. Antibiotics' effectiveness and easy access can lead to overuse or misuse prompting to develop resistance in microorganisms. In addition, inappropriate antibiotic dosages have also contributed to the emergence of antibiotic-resistant bacterial strains [ 7 Lewis R. Unappropriated practices of antibiotics have long been believed to fuel AMR, but newer research showed that simply lowering consumption is not enough [ 8 Cunha CB.

Antimicrobial stewardship programs: Principles and practice.

[http://dx.doi.org/10.1016/j.mcna.2018.04.003] [PMID: 30126571] ].

Significant problems are arising due to the development of antibiotic-resistant strains of bacteria and further creation of multidrug-resistant bacterial spp [ 9 Magiorakos AP, Srinivasan A, Carey RB, et al. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: An international expert proposal for interim standard definitions for acquired resistance. [http://dx.doi.org/10.1111/j.1469-0691.2011.03570.x] [PMID: 21793988] ]. The multidrug-resistant bacterial spp., having resistance to multiple antibiotics, can cause life-threatening infections [ 10 Bassetti M, Righi E. For example, overuse of fluoroquinolone and other associated antibiotics can also lead to such kind of antibiotic resistance in bacteria [ 11 Fair RJ, Tor Y.



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