TY - JOUR
T1 - 'Ten commandments' for the appropriate use of antibiotics by the practicing physician in an outpatient setting
AU - Levy-Hara, Gabriel
AU - Amábile-Cuevas, Carlos F.
AU - Gould, Ian
AU - Hutchinson, Jim
AU - Abbo, Lilian
AU - Saxynger, Lynora
AU - Vlieghe, Erika
AU - Lopes Cardoso, Fernando L.
AU - Methar, Shaheen
AU - Kanj, Souha
AU - Ohmagari, Norio
AU - Harbarth, Stephan
AU - Aiken, Alex
AU - Alnimr, Amani
AU - Bavestrello, Luis
AU - Carlet, Jean
AU - Dreser, Anahi
AU - Essack, Sabiha
AU - Hsueh, Po Ren
AU - Ismail, Nadia
AU - Kaddu-Mulindwa, Deogratias
AU - Kolmos, Hans Jørn
AU - Mochizuki, Takahiro
AU - Ndewga, Linus
AU - Odio, Carla
AU - Peredo, Miguel Angel
AU - Vega, Silvio
AU - Viswanathan, Rajlakshmi
AU - Wertheim, Heiman
PY - 2011
Y1 - 2011
N2 - A multi-national working group on antibiotic stewardship, from the International Society of Chemotherapy, put together ten recommendations to physicians prescribing antibiotics to outpatients. These recommendations are: (1) use antibiotics only when needed; teach the patient how to manage symptoms of non-bacterial infections; (2) select the adequate ATB; precise targeting is better than shotgun therapy; (3) consider pharmacokinetics and phar-macodynamics when selecting an ATB; use the shortest ATB course that has proven clinical efficacy; (4) encourage patients' compliance; (5) use antibiotic combinations only in specific situations; (6) avoid low quality and sub-standard drugs; prevent prescription changes at the drugstore; (7) discourage self-prescription; (8) follow only evidence-based guidelines; beware those sponsored by drug companies; (9) rely (rationally) upon the clinical microbiology lab; and (10) prescribe ATB empirically - but intelligently; know local susceptibility trends, and also surveillance limitations.
AB - A multi-national working group on antibiotic stewardship, from the International Society of Chemotherapy, put together ten recommendations to physicians prescribing antibiotics to outpatients. These recommendations are: (1) use antibiotics only when needed; teach the patient how to manage symptoms of non-bacterial infections; (2) select the adequate ATB; precise targeting is better than shotgun therapy; (3) consider pharmacokinetics and phar-macodynamics when selecting an ATB; use the shortest ATB course that has proven clinical efficacy; (4) encourage patients' compliance; (5) use antibiotic combinations only in specific situations; (6) avoid low quality and sub-standard drugs; prevent prescription changes at the drugstore; (7) discourage self-prescription; (8) follow only evidence-based guidelines; beware those sponsored by drug companies; (9) rely (rationally) upon the clinical microbiology lab; and (10) prescribe ATB empirically - but intelligently; know local susceptibility trends, and also surveillance limitations.
KW - Antibiotic resistance
KW - Antibiotic stewardship
KW - Generic antibiotics
KW - Guidelines
KW - Self-prescription
KW - Treatment compliance
UR - http://www.scopus.com/inward/record.url?scp=84860588012&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84860588012&partnerID=8YFLogxK
U2 - 10.3389/fmicb.2011.00230
DO - 10.3389/fmicb.2011.00230
M3 - Article
C2 - 22164154
AN - SCOPUS:84860588012
VL - 2
JO - Frontiers in Microbiology
JF - Frontiers in Microbiology
SN - 1664-302X
IS - NOV
ER -