Antibiotic policies : fighting resistance by Ian M. Gould, Jos W.M. van der Meer

By Ian M. Gould, Jos W.M. van der Meer

This quantity examines a few of the the most important problems with resistance in a medical context, with an emphasis on MRSA; definitely the best problem to our antibiotic and an infection keep an eye on regulations that glossy well-being care structures have ever visible. different chapters discover the psychology of prescribing, smooth administration concepts as an accessory to antibiotic regulations, and the fewer seen downsides of antibiotic use.

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32 These aspects are of importance in general practice as well as in the hospital setting. In hospitals, different disciplines are usually involved in antibiotic prescribing (clinicians, nurses, pharmacists, microbiologists), but the degree to which protocols and control systems (such as antibiotic formulary, limited permission to prescribe certain antibiotics, antibiotic order forms, automatic stop orders, antibiotic consultation) are in place greatly differs between hospitals. 34,35 Nevertheless there is a worldwide tendency to standardize treatment in protocols.

The process of combining the data to a single decision for antibiotic prescription entails multiplication of large matrices. Again the physicians cannot be expected to perform this multiplication. They probably use heuristics, simplified rules, to reduce the dimensions of the problem. The result is less than optimal. 1–10 Superfluous and unnecessary antibiotic treatment is probably more frequent. 1–10 Superfluous antibiotic treatment has contributed to the development of bacterial species resistant to all available antibiotics.

Nicotra MB, Kronenberg RS. Con: Antibiotic use in exacerbations of chronic bronchitis. Semin Respir Infect 1993;8:254–8. 10. Holmes WF, Macfarlane JT, Macfarlane RM, Hubbard R. Symptoms, signs, and prescribing for acute lower respiratory tract illness. Br J Gen Pract 2001;51:177–81. 11. Survey of antibiotic prescribing in a district general hospital. II. Lower respiratory tract infection. Lancet 1981;2:40712. Moss FM, McNicol MW, McSwiggan DA, Miller DL. Survey of antibiotic prescribing in a district general hospital.

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