| Antibiotic stewardship programmes--what's missing? | |
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MedLine Citation:
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PMID: 20851812 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Inappropriate antibiotic use and antibiotic resistance are now major global issues. Antimicrobial stewardship programmes are increasingly being used to optimize antibiotic prescribing in acute care. The central tenet of these programmes tends to be policy and guidelines aimed at prescribers. However, rules and guidelines alone may not be sufficient to bring about effective and sustainable optimization of practice. Best practice needs to be positively reinforced by an environment that facilitates and supports optimal prescribing choices, i.e. a 'choice architecture' that makes prudent antibiotic prescribing the path of least resistance. To make prudent antibiotic management an integral part of the behaviour of all healthcare professionals and to bring about quality improvement it is necessary to adopt a whole-system approach. To do this it is necessary first to understand the factors that influence antibiotic management and prescribing. |
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Authors:
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Esmita Charani; Jonathan Cooke; Alison Holmes |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't; Review Date: 2010-09-16 |
Journal Detail:
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Title: The Journal of antimicrobial chemotherapy Volume: 65 ISSN: 1460-2091 ISO Abbreviation: J. Antimicrob. Chemother. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-08 Completed Date: 2011-01-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7513617 Medline TA: J Antimicrob Chemother Country: England |
Other Details:
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Languages: eng Pagination: 2275-7 Citation Subset: IM |
Affiliation:
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Centre for Infection Prevention and Management, Imperial College, London W12 OHS, UK. e.charani@imperial.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Bacterial Agents
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therapeutic use* Bacterial Infections / drug therapy*, prevention & control* Drug Resistance, Bacterial Drug Utilization / standards* Health Policy Humans Organizational Policy Prescriptions / standards |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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