Overview

In 1971, I started a fellowship in infectious diseases and medical microbiology at the Channing Laboratory of the Harvard Medical Service at Boston City Hospital. My mentor, Dr. Maxwell Finland, had encouraged me to return there from the Center for Disease Control (as CDC was known then), where I had studied inf- tious diseases epidemiology and hospital-associated infection epidemiology, with the idea that we would review the demographic patterns of bacteremia and several other infections during Dr. Finland’s long tenure at the hospital. We did so, but I was surprised to find that he also invited me to help with the assessment of the success or failure of the programs to control antimicrobial use that he and c- leagues had put into place at the hospital over several years. The paper describing that review finally was published in 1974, after a long and tortuous process of review at several journals. Several reviewers felt that such attempts to improve use amounted to interference with the patient’s physician to do what was best. Others felt that such programs focused incorrectly on a subject other than treating the current patient. Fortunately, today, it is clear that antimicrobial resistance results in major part, but not entirely, from the ways that we use antimicrobial agents, and that the ov- all interests of patients in general, as well as those of society, are well served by efforts to use these drugs as well as possible.

Full Product Details

Author:   Ian M. Gould ,  Jos W.M. van der Meer
Publisher:   Springer-Verlag New York Inc.
Imprint:   Springer-Verlag New York Inc.
Edition:   Softcover reprint of hardcover 1st ed. 2008
Dimensions:   Width: 15.50cm , Height: 1.50cm , Length: 23.50cm
Weight:   0.462kg
ISBN:  

9781441943613

ISBN 10:   1441943617
Pages:   285
Publication Date:   19 November 2010
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   Out of stock  
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Table of Contents

Consequences of Antimicrobial Chemotherapy: Overgrowth, Resistance, and Virulence.- The Process of Antibiotic Prescribing: Can It Be Changed?.- Cultural and Socioeconomic Determinants of Antibiotic Use.- Electronic Prescribing.- Prevalence Surveys of Antimicrobial Use in Hospitals: Purpose, Practicalities, and Pitfalls.- Antibiotic Use in Hospitals in the United States SCOPE-MMIT Antimicrobial Surveillance Network.- New Hospital Initiatives in Fighting Resistance.- Antimicrobial Resistance: Preventable or Inevitable?.- Fighting Antimicrobial Resistance in the Mediterranean Region.- Cystic Fibrosis—Coping with Resistance.- Community-Acquired Pneumonia—Back to Basics.- Hospital-Acquired Pneumonia: Diagnostic and Treatment Options.- Optimizing Antimicrobial Chemotherapy in the ICU—A Review.- Risk Assessment for Methicillin-Resistant Staphylococcus aureus.- What Do We Do with Methicillin-Resistant Staphylococcus aureus in Surgery?.- Control of Healthcare-Associated Methicillin-ResistantStaphylococcus aureus.

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