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美国马萨诸塞州,波士顿,塔夫茨大学医学院的Stuart B. Levy的一段关于“微生物与人类的辩证关系”讲的非常感人,也非常有启发性,现翻译如下:
我们必须不仅要考虑耐药性方面的问题,而且也要考虑到我们婴幼儿和家庭中微生态的变化情况。我们生活在细菌的世界中,而不是细菌生活在我们的世界中。不幸的是,我们相信我们可以随时摆脱细菌对我们危害,而事实上,我们不能。相反,我们应该“和平”地与他们相处。尽管我们需要控制致病微生物,当他们引起疾病的时候,但我们不应该发动一场全面的“战争”以对抗微生物世界。改进抗生素的使用,包括更短地治疗和摒弃不正确的使用,将促使抗生素敏感性的提升,共生菌群的平衡及恢复到抗生素/抗菌剂大量使用之前那个时代的生态环境。 We must think not just in terms of resistance but also in terms of the changes in the microbial ecology of our infants and our homes. We exist in the bacterial world, not bacteria in ours. Unfortunately, we believe that we can rid ourselves of bacteria when, in fact, we cannot. Instead, we should “make peace” with them. Although we need to control pathogens when they cause disease, we do not have to engage in a fullfledged “war” against the microbial world. Improved antibiotic use, including shorter treatments and removal of improper usage, will encourage the return of antibioticsusceptible, commensal flora and return the environment to what it was before the antibiotic/antibacterial onslaught. 请指正,谢谢。 |