[Objectives]This study was conducted to promote the rational use of special use level of antibiotics in clinic and delay the emergence of drug resistance.[Methods]The application of antibiotics for special use among inpatients of a hospital in 2019 was analyzed.The data in the drug information management system of the hospital were queried,and the collected expert consultation records of special-use antibiotics were sorted out.Indicators including the use rate of special-use antibiotics,antibiotic use density(AUD),defined daily dose system(DDDs)and defined daily dose system cost(DDDc)of each drug,the annual pathogen detection rate,disease distribution and pathogenic microorganism detection were summarized and analyzed for inpatients in the hospital retrospectively.[Results]In 2019,the average annual use rate of special-use antibiotics in the hospital was 1.53%,and the average annual use density was 1.59 DDDs.The antibiotics with the top three DDDs were imipenem and cilastatin,meropenem and cefepime.The antibiotics with the top three DDDc were voriconazole dispersible tablets,voriconazole for injection,and meropenem for injection.The average annual detection rate of microorganisms was 85.77%.The diseases were mainly diagnosed as respiratory infections such as pneumonia and secondary infections after radiotherapy and chemotherapy before medication,and the detected pathogens were mainly Candida and its subspecies,Escherichia coli,and Klebsiella and its subspecies.[Conclusions]The clinical use of special-use antibiotics in the hospital was basically reasonable,but there were still some problems.It is necessary to increase management efforts,strengthen training for relevant medical personnel,and provide management ideas for further standardizing the use of antibiotics in the hospital.
The land application of livestock manure has been widely acknowledged as a beneficial approach for nutrient recycling and environmental protection.However,the impact of residual antibiotics,a common contaminant of manure,on the degradation of organic compounds and nutrient release in Eutric Regosol is not well understood.Here,we studied,how oxytetracycline(OTC)and ciprofloxacin(CIP)affect the decomposition,microbial community structure,extracellular enzyme activities and nutrient release from cattle and pig manure using litterbag incubation experiments.Results showed that OTC and CIP greatly inhibited livestock manure decomposition,causing a decreased rate of carbon(28%-87%),nitrogen(15%-44%)and phosphorus(26%-43%)release.The relative abundance of gramnegative(G-)bacteria was reduced by 4.0%-13%while fungi increased by 7.0%-71%during a 28-day incubation period.Co-occurrence network analysis showed that antibiotic exposure disrupted microbial interactions,particularly among G-bacteria,G+bacteria,and actinomycetes.These changes in microbial community structure and function resulted in decreased activity of urease,β-1,4-N-acetyl-glucosaminidase,alkaline protease,chitinase,and catalase,causing reduced decomposition and nutrient release in cattle and pig ma-nures.These findings advance our understanding of decomposition and nutrient recycling from manure-contaminated antibiotics,which will help facilitate sustainable agricultural production and soil carbon sequestration.
Inside every human is a thriving zoo of bacteria,fungi,viruses and other microscopic organisms,collectively known as the microbiome.Trillions of microbes live in the digestive tract alone,a menagerie estimated to contain more than 1,000 species."Increasingly,researchers are recognizing the benefits of protecting the human gut microbiome,pailicularly because its integrity and diversity is linked to metabolic influences on mental health and physical health conditions."
