Antibiotic stewardship--more education and regulation not more availability? | Zendy

Matthew Dryden | Zendy; Jonathan Cooke | Zendy; Patrick Davey | Zendy

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Antibiotic stewardship--more education and regulation not more availability?

Author(s) -

Matthew Dryden,

Jonathan Cooke,

Patrick Davey

Publication year - 2009

Publication title -

journal of antimicrobial chemotherapy

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.124

H-Index - 194

eISSN - 1460-2091

pISSN - 0305-7453

DOI - 10.1093/jac/dkp305

Subject(s) - antibiotics , medical prescription , pharmacy , agency (philosophy) , antibiotic stewardship , antibiotic resistance , nitrofurantoin , regulatory agency , medicine , antimicrobial stewardship , over the counter , intensive care medicine , stewardship (theology) , business , pharmacology , family medicine , political science , biology , public administration , microbiology and biotechnology , philosophy , epistemology , politics , law

Antibiotics are overused across the world by prescription, self-medication or over the counter (OTC) availability. In the UK, the agenda to increase patient choice has stimulated a move towards greater availability of OTC antibiotics. This trend needs to be urgently reviewed and controlled. The Medicines and Healthcare products Regulatory Agency is currently reviewing applications for reclassification of trimethoprim and nitrofurantoin from prescription-only medicines to pharmacy availability or OTC. It is important that anti-infectives do not become more freely available. With the quantity of antibiotic use linked to antibiotic resistance, Society should seek to preserve the use of this irreplaceable resource by education and regulation.

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