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Preventing the Emergence of Antimicrobial Resistance: A Call for Action by Clinicians, Public Health Officials, and Patients
Abstract
The emerging global problem of antimicrobial resistance has multiple aspects and involves multiple pathogens. One common theme is that antimicrobial drug use exerts selective pressure favoring the emergence of resistance. Strategies to prevent the development and spread of antimicrobial resistance depend on the pathogens. For bacterial respiratory tract pathogens (eg,Streptococcus pneumoniae), controlling outpatient antimicrobial use is crucial1-3; for some enteric pathogens (eg,Salmonella), limiting antimicrobial use in animals is important4,5; and, for pathogens that cause nosocomial infections, improving inpatient antimicrobial use and infection control practices is necessary.6Addressing antimicrobial use and resistance is one of the most urgent priorities in confronting emerging infectious disease threats.7,8 See also p 901. Respiratory infections account for more than three quarters of the antimicrobial drug prescriptions written annually in physicians' offices.9In this issue ofJAMA, Gonzales et al10identify antibiotic prescribing for adults with colds, nonspecific
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Cited by
Practice Guidelines for the Management of Community-Acquired Pneumonia in Adults
Bartlett, J. G., Dowell, S. F., Mandell, L. A., File, T. M., Musher, D. M., & Fine, M. J. (2000) · Clinical Infectious Diseases · doi:10.1086/313954 · Cited by 2,286
Reducing Antibiotic Use in Children: A Randomized Trial in 12 Practices
Finkelstein, J. A., Davis, R. L., Dowell, S. F., Metlay, J. P., Soumerai, S. B., Rifas-Shiman, S. L., Higham, M., Miller, Z., Miroshnik, I., Pedan, A., et al. (2001) · Pediatrics · doi:10.1542/peds.108.1.1 · Cited by 674
Wise, R., Hart, T., Cars, O., Streulens, M., Helmuth, R., Huovinen, P., & Sprenger, M. (1998) · BMJ · doi:10.1136/bmj.317.7159.609 · Cited by 592
Nichol, K. L. (1999) · JAMA · doi:10.1001/jama.282.2.137 · Cited by 402
Recurrent Clostridium Difficile Disease: Epidemiology and Clinical Characteristics
McFarland, L. V., Surawicz, C. M., Rubin, M., Fekety, R., Elmer, G. W., & Greenberg, R. N. (1999) · Infection Control & Hospital Epidemiology · doi:10.1086/501553 · Cited by 353
Metadata
- Authors
- Schwartz, B.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 1997-09-17
- Volume
- 278
- Issue
- 11
- Pages
- 944
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2009503391
- Cited by
- 171
- References
- 0
- FWCI
- 10.32
- Type
- journal article
- Language
- en
- Open access
- closed
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