Antibiotic usage and resistance in different regions of the Dutch community.
SourceMicrobial Drug Resistance, 8, 3, (2002), pp. 209-214
Article / Letter to editor
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Microbial Drug Resistance
SubjectRational Use of Drugs and Pharmaco-epidemiology; Rationeel Geneesmiddelengebruik en Farmaco-epidemiologie
Regional differences of antibiotic use and antibiotic resistance in the fecal indicator bacteria Escherichia coli and enterococci were determined in different cities in the south, west, and north of The Netherlands. In 1999, differences in antibiotic consumption were observed between the different regions: 11.19, 10.84, and 7.16 DDD (defined daily dosage) per 1,000 inhabitants per day, respectively. No significant regional differences were found in the prevalence of antibiotic resistance for both E. coli and enterococci. However, the differences in antibiotic consumption observed might lead to changes in antibiotic resistance in the near future. Surveillance of antibiotic use and antibiotic resistance is strongly recommended to control the development of antibiotic resistance because it provides epidemiological data to set up and control antibiotic guidelines.
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