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Unnatural selection: reducing antibiotic resistance in neonatal units

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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