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JAC Advance Access published online on March 16, 2005
Journal of Antimicrobial Chemotherapy, doi:10.1093/jac/dki077
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© The Author 2005. Published by Oxford University Press on behalf of the British Society for Antimicrobial Chemotherapy. All rights reserved. For Permissions, please e-mail: journals.permissions@oupjournals.org

For debate

Finding a strategy: the case for co-operative research on resistance epidemiology

J. T. Magee 1*, Margaret L. Heginbothom 1, and B. W. Mason 1

1 Communicable Diseases Surveillance Centre, Abton House, Wedal Road, Cardiff CF4 3QX, UK

* To whom correspondence should be addressed.
J. T. Magee, E-mail: john.magee{at}nphs.wales.nhs.uk


  Abstract

Progress on rational intervention to prevent increasing antibiotic resistance has been slow. We suggest that this is because the science of resistance epidemiology has received little attention, and that a systematic, co-operative investigation of this area might yield a relevant knowledge base, analogous to the basis for effective public health intervention in infectious disease given by infection epidemiology. The steps required to progress this approach in the UK are discussed, along with a summary of what is known and speculation on what might emerge.

Keywords: antibiotic resistance; surveillance of antibiotic resistance; resistance epidemiology.
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