Antibiotic prescribing policies: a personal view
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There is no field of medical treatment which more directly invites intervention from outside than does antimicrobial chemotherapy. This is so for a number of reasons: firstly, because the choice of drugs is so bewilderingly large that clinicians, who have to be experts in many other areas, rarely use antibiotics to the best clinical advantage; secondly, because antimicrobial therapy leads to an accumulation of resistant bacteria; thirdly, because antibiotics are expensive; and fourthly, because there is available another group of specialists, the medical microbiologists, some of whom have the interest and knowledge to try and help their clinical colleagues. The first three of these reasons give an indication of the possible objectives of antibiotic policies, the fourth shows a possible avenue by which they can be introduced, modified and monitored.
KeywordsUrinary Tract Infection Nalidixic Acid Antibiotic Sensitivity Antimicrobial Prophylaxis Ward Round
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