Antibiotic Resistance—A World Health Problem We Cannot Ignore
Authors: CALVIN M. KUNIN
Journal: Annals of Internal Medicine (1983)

Editorials1 December 1983Antibiotic Resistance—A World Health Problem We Cannot IgnoreCALVIN M. KUNIN, M.D.CALVIN M. KUNIN, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-99-6-859 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPhysicians are well aware of the problem of antimicrobial resistance. The combined order for a "culture and sensitivity" test implies a reasonable expectation that an organism may often be resistant to commonly used antimicrobial agents. The code words "cover" and "empiric" are used to anticipate the variety of organisms that may be responsible for an infection, as well as resistant strains among them. Each time an antimicrobial agent is used, however, there is a small but added effect on the ecology of the microbial world.The collective decisions of thousands of physicians and farmers and millions of consumers involving over-the-counter...References1. GUSTAFSSONWIDE LK. Marketing of obsolete antibiotics in Central America. Lancet. 1981;1:31-3. CrossrefMedlineGoogle Scholar2. Traveller's diarrhoea [Editorial]. Lancet. 1982;1:777-8. MedlineGoogle Scholar3. MURRAYRENSIMERDUPONT BEH. Emergence of high-level trimethoprim resistance in fecal Excherichia coli during oral administration of trimethoprim or trimethoprim-sulfamethoxazole. N Engl J Med. 1982;306:130-5. CrossrefMedlineGoogle Scholar4. . Control of antibiotic-resistant bacteria: memorandum from a WHO meeting. Bull WHO. 1983;61:423-33. MedlineGoogle Scholar5. MUSHER D. Antibiotics: the medium is the message. Rev Infect Dis. 1983;5:809-12. CrossrefMedlineGoogle Scholar6. LEVY S. Antibiotic resistance. Infect Control. 1983;4:195-7. CrossrefMedlineGoogle Scholar7. COUNTS G. Review and control of antimicrobial usage in hospitalized patients: a recommended collaborative approach. JAMA. 1977;238:2170-2. CrossrefMedlineGoogle Scholar8. BUCKWOLDRONALD FA. Antimicrobial misuse—effects and suggestions for control. J Antimicrob Chemother. 1979;5:129-36. CrossrefMedlineGoogle Scholar9. JACKSON G. Antibiotic policies, practices and pressures. J Antimicrob Chemother. 1979;5:1-4. CrossrefMedlineGoogle Scholar10. KUNIN C. Practical Aspects Of Antibiotic Review. Atlanta: American Health Consultants; 1979:11. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Ohio State University School of Medicine Columbus, Ohio PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAntibiotic Stewardship—Twenty Years in the MakingAscertainment of pharmacological activities of Allamanda neriifolia Hook and Aegialitis rotundifolia Roxb used in Bangladesh: An in vitro studyPhytopharmacological evaluation of ethanol extract of Sida cordifolia L. rootsImpact of Multiresistance of Gram-negative Bacteria in Bloodstream Infection on Mortality Rates and Length of StayImproving Inpatient Antibiotic Prescribing: Insights from Participation in a National CollaborativeAntimicrobial resistance and its control in pediatricsAntibiotic medication and bacterial resistance to antibiotics: a survey of children in a Vietnamese communityAntibiotic consumption patterns and drug leftovers in 6000 Brazilian householdsThe use of systemic antibiotics in seven community hospitals in Northern IsraelAre we facing a `post‐antibiotic era'? – a review of the literature regarding antimicrobial drug resistanceAntibiotic resistant Escherichia coli in a Sudanese hospitalEmpiric antibiotic treatment and the misuse of culture results and antibiotic sensitivities in patients with community-acquired bacteraemia due to urinary tract infectionThe Global Problem of Antimicrobial ResistanceThe cost-effectiveness of placing urinary tract infection treatment over the counterWater sources and environmental transmission of multiply resistant enteric bacteria in rural BangladeshUse of antimicrobial drugs in developing countriesA review of bacterial resistance to antimicrobial agents in tropical countriesEvaluation of rational drug prescribing in democratic yemenPurchase of antibiotics without prescription in Manila, The Philippines. Inappropriate choices and dosesBacterial Proteins Involved in Antimicrobial Drug ResistanceBacterial Proteins Involved in Antimicrobial Drug ResistancePotential for Drug Misuse in the Eastern Province of Saudi ArabiaInfectious Diarrheas: Acute, Chronic, and IatrogenicMARTIN J. BLASER, M.D.Educational antibiotic advertisingLocal Monitoring of Antibiotic ResistanceJOHN P. SHEEHAN, M.D.Antibiotics Over the Counter and Across the BorderPAUL R. CASNER, M.D., PH.D.Acyclovir and Overuse of AntibioticsCARL V. VARTIAN, M.D. 1 December 1983Volume 99, Issue 6Page: 859-860KeywordsAntibiotic resistanceAntimicrobial resistanceAntimicrobialsEcologyGlobal healthMotivation Issue Published: 1 December 1983 PDF downloadLoading ...