USO DE ANTIMICROBIANOS Y RESISTENCIA BACTERIANA COMO PROBLEMA ÉTICO
Synopsis
The irrational use of antimicrobials and growing bacterial resistance pose a threat to global public health. However, this phenomenon also raises profound ethical dilemmas surrounding medical duty, equity of access, and social responsibility in prescribing. The objective of this chapter is to analyze bacterial resistance from an ethical perspective, highlighting the principles of beneficence, justice, and professional responsibility. A narrative review was conducted based on scientific literature from 2023 to 2025 obtained from Scopus, PubMed, and Scielo. Priority was given to recent systematic reviews and clinical guidelines on the rational use of antimicrobials and bioethics. The data reviewed show a growing disproportion between the clinical use of antibiotics and the emergence of multidrug-resistant strains. Ethical dilemmas arise when patient autonomy, healthcare pressure, and restrictive institutional policies clash. Bacterial resistance must be addressed not only as a scientific problem, but also as a moral one. Ethical training and surveillance of antimicrobial use are essential tools for ensuring a therapeutically viable future.
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