Reply
Fri 7 Oct, 2011 05:00 pm
Context:
For practising physicians, the call for responsible action is especially acute and personal. Clinical work is founded on principles of professionalism and 24stewardship. Our responsibility is both collective and personal. People still misuse, and physicians still prescribe, antibiotics to treat viral infections. Health-care providers still treat infections, such as pneumonia and sinusitis, longer than indicated by the latest evidence, and fail to de-escalate antibiotic therapy promptly on the basis of culture results and sensitivity testing. We should be raising our voices to curtail the widespread use of crucial antibiotics in food production animals. We should argue for the need to strengthen local, national, and international global antimicrobial use and resistance surveillance. We should work with our institutions and health systems to ensure fastidious adherence to antibiotic use policies, hand hygiene, and other 25important infection-control measures.
@oristarA,
No, but it is a poorly worded sentence.
Local, national and international go together and refer to location. "Global antimicrobial use" go together and describe a way of doing treatments. While I'm not a doctor, I think "global" here means all over the body, not all over the world.
@engineer,
engineer wrote:
No, but it is a poorly worded sentence.
Local, national and international go together and refer to location. "Global antimicrobial use" go together and describe a way of doing treatments. While I'm not a doctor, I think "global" here means all over the body, not all over the world.
If so, we'd see "Global antimicrobial use" as a plan or a duty, being carried out or strengthened by local, national, and international health-care units?
Plus, what does "argue for the need" mean? "Emphasize the necessity"?
@oristarA,
The key issue here is that there is a league table of antibiotic effectiveness according to location, even at the local level, due to the differential spread of resistant bacteria. But with the advent of fast global travel, these pockets of resistant bacteria now spread much more rapidly so that negligent prescribing in one nation can undermine diligent policies in another. Hence there needs to be international co-operation because of the global problem.