Work

Controlling Antimicrobial Resistance in Hospitals: Infection Control and Use of Antibiotics

Year: 2001
Type: review
Abstract: Antimicrobial-drug resistance in hospitals is driven by failures of hospital hygiene, selective pressures created by overuse of antibiotics, and mobile genetic elements that can encode bacterial resistance mechanisms. Attention to hand hygiene is constrained by the time it takes to wash hands and by the adverse effects of repeated handwashing on the skin. Alcohol-based hand rubs can overcome the time problem and actually improve skin condition. Universal glove use could close gaps left by incomplete adherence to hand hygiene. Various interventions have been described to improve antibiotic use. The most effective have been programs restricting use of antibiotics and computer-based order forms for health providers.
Language: English
Field: Medicine
Open Access status: diamond
OpenAlex ID: W2117891520
FWCI: 2.218
Cites: 33
Cited by: 278
Related to: 10