Abstract
Optimal antimicrobial use is essential in the face of escalating antibiotic resistance. The problem of antibiotic resistance affects all sectors of the health care system—the patient, the health care team, the payor, and the public health system. Previous antibiotic use has consistently been identified as a risk factor for individual colonization with resistant pneumococcus (1). Community-wide consumption of antibiotics is strongly associated with infection or colonization with resistant organisms (2). Antibiotic resistance has been shown to be proportional to the volume of antimicrobial consumption, and reductions in resistance require a proportional reduction in consumption (3). Although there is evidence to document the futility and possible harm of antibiotic therapy for many respiratory tract infections, antibiotic prescribing continues for these primarily viral conditions (4).
Keywords
Otitis Medium Clinical Practice Guideline Acute Otitis Medium Macrolide Antibiotic Pneumococcal VaccinePreview
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References
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