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Preventing the Emergence of Multidrug-Resistant Microorganisms through Antimicrobial Use Controls: The Complexity of the Problem
William R. Jarvis
Infection Control and Hospital Epidemiology
Vol. 17, No. 8, CIPI: 4th International Conference on the Prevention of Infection (Aug., 1996), pp. 490-495
Published by: Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America
Stable URL: http://www.jstor.org/stable/30141280
Page Count: 6
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Widespread use of antimicrobials in the inpatient and outpatient setting has been associated with the emergence of multidrugresistant microorganisms. A variety of methods exist to improve the appropriateness of antimicrobial use in the inpatient setting, including guidelines, antimicrobial use evaluations, microbiology laboratory guidance, formulary development and antimicrobial restriction, use of antimicrobial order or automatic stop order forms, and antimicrobial audits. To decrease the selective pressure that leads to development of pathogen resistance and to reduce antimicrobial expenditures, infectious disease, infection control, pharmacy, and administrative staff need to improve clinician use of antimicrobials through development and implementation of antimicrobial use committees. Through the implementation of a comprehensive, multidisciplinary approach to antimicrobial use and development of clinician education programs, inappropriate antimicrobial use can be reduced, patient care can be improved, and substantial cost savings can be realized
Infection Control and Hospital Epidemiology © 1996 Cambridge University Press