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Archives of Disease in Childhood - Fetal and Neonatal Edition 2006;91:F72-F74; doi:10.1136/adc.2005.074963
Copyright © 2006 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health

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REVIEW

Unnatural selection: reducing antibiotic resistance in neonatal units

D Isaacs

Correspondence to:
Correspondence to:
Dr Isaacs
Department of Allergy, Immunology & Infectious Diseases, Children’s Hospital at Westmead, Westmead, Sydney, 2122, NSW, Australia; davidi{at}chw.edu.au


ABSTRACT
Antibiotic use selects for antibiotic resistant bacteria. This is an example of rapid Darwinian natural selection in action. It occurs in neonatal intensive care units with the use of parenteral antibiotics, and in the community with oral antibiotic use. A 10 point plan is put forward to reduce antibiotic resistance in neonatal units.


Keywords: infection; extended spectrum ß lactamases; antibiotic resistance; Klebsiella




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Arch. Dis. Child. Fetal Neonatal Ed.Home page
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Characterisation of the host inflammatory response to Staphylococcus epidermidis in neonatal whole blood
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[Abstract] [Full Text] [PDF]




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