JOHN P. SHEEHAN, M.D.
To the editor: The recent editorial by Kunin (1) has highlighted the global problem of antibiotic resistance and the need for ongoing surveillance by individual physicians and hospital teams. In general, physicians acting alone are responsible for initiating antibiotic therapy, frequently on an urgent, blind, empiric basis, based on prevailing antibiotic-resistance patterns and pending definitive culture and sensitivity results. In this setting, the need to audit one's practice, to define both unnecessary or inappropriate antibiotic therapy and local changes in antibiotic resistance patterns, is of great importance.
The value of such local surveillance was most apparent to me during a
SHEEHAN JP. Local Monitoring of Antibiotic Resistance. Ann Intern Med. 1984;100:771. doi: 10.7326/0003-4819-100-5-771_2
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Published: Ann Intern Med. 1984;100(5):771.
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