Antibiotic Policies: Controlling Hospital Acquired Infection

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Ian M. Gould, Jos W.M. van der Meer
Springer Science & Business Media, Sep 25, 2011 - Medical - 209 pages
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The first book was on "Theory and Practice" of antibiotic stewardship in its broadest sense -the how to do it and the do's and don’ts. The second, on "Controlling resistance" was very much on the relationships between use and resistance and beginning to home in on the hospital as the main generator of resistance, but mainly looking at it from a disease/clinical perspective. The last 3 chapters on MRSA, ended where the 3rd book will take off. "Controlling HAI " will concentrate on specific MDR organisms highlighting their roles in the current pandemic of HAI and emphasizing that the big issue is not so much infection control but antibiotic control, in the same way that antibiotic over-reliance/ over-use has caused the problem in the first place. Up 'till now the emphasis for controlling MRSA, C diff and all the other MDROs has very much been on IC, which clearly isn't working. This book will gather all the evidence for the increasingly popular view that much more must be done in the area of antibiotic policies/ stewardship, especially when we are in danger of a "post antibiotic" era, due to a real shortage of new agents in the pipeline.

 

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Contents

Healthcare Associated InfectionsThe Size of the Problem
1
The Antibiotic Paradox
15
The Epidemiology of PanExtreme Drug Resistance
27
Hospital Antibiotic Stewardship to Control ResistanceHow Should It be Done?
39
Controlling Clostridium Cifficile Infection and the Role of Antibiotic Stewardship
53
The Control of MRSA
63
The Role of Antibiotic Policies in Controlling VRE
81
The Control of ESBLProducing Bacteria
91
Controlling HospitalAcquired Infection due to CarbapenemResistant Enterobacteriaceae CRE
105
Control of MultiDrug Resistant Acinetobacter Infections
117
Insights into Epidemiology and Management
127
MultidrugResistant Infections in LowResource Health Care Settings
141
Germ Shed Management in the United States
163
Required Actions to Control Antimicrobial Resistant HealthcareAssociated Infections
183
Index
203
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