Controversies in infection: infection control or antibiotic stewardship to control healthcare-acquired infection?

摘要: Despite record resource being devoted to the control of healthcare-acquired infection (HCAI), rates have never been higher. Although discovery contagiousness puerperal sepsis by Alexander Gordon heralded golden era bacteriology and antibiotics, this led a belief that was beaten. This in its turn may well us into false sense security an over-reliance on antibiotics. Modern medicine has built many advances need for but their very success huge over-use resulting problems resistance. Compounded absence good antibiotic pipeline we are now forced address paradox antibiotics; namely they actually be causing HCAIs. Not only Clostridium difficile infection, others such as those caused meticillin-resistant Staphylococcus aureus, more or less completely contingent prescribing. Control prescribing would probably just effective measure our fight against HCAI conventional measures. Arguably, traditional is akin fire-fighting stewardship prevention.