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Journal of Antimicrobial Chemotherapy 2007 60(Supplement 1):i49-i52; doi:10.1093/jac/dkm157
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© The Author 2007. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Articles

The state of play in the battle against antimicrobial resistance: a general practitioner perspective

Douglas M. Fleming*

Birmingham Research Unit of the Royal College of General Practitioners, Lordswood House, 54 Lordswood Road, Harborne, Birmingham B17 9DB, UK

* Tel: +44-121-426-1125; Fax: +44-121-428-2084; E-mail: dfleming{at}rcgpbhamresunit.nhs.uk

This article summarizes personal reflections from the perspective of general practice on developments with regard to antibiotic resistance and the containment of antibiotic prescribing during the lifetime of the Specialist Advisory Committee on Antimicrobial Resistance in England. These reflections concern the entry of antibiotics into the food chain, recent extensions of prescribing responsibilities and developments towards improved surveillance and reduced antibiotic prescribing. A large gap remains between the scientific appreciation of the risks from antimicrobial resistance and effective means to measure it and thereby hopefully control it.

Keywords: prescribing , surveillance , food chain


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