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Review
Unnatural selection: reducing antibiotic resistance in neonatal units
  1. D Isaacs
  1. Correspondence to:
    Dr Isaacs
    Department of Allergy, Immunology & Infectious Diseases, Children’s Hospital at Westmead, Westmead, Sydney, 2122, NSW, Australia; davidi{at}chw.edu.au

Abstract

Antibiotic use selects for antibiotic resistant bacteria. This is an example of rapid Darwinian natural selection in action. It occurs in neonatal intensive care units with the use of parenteral antibiotics, and in the community with oral antibiotic use. A 10 point plan is put forward to reduce antibiotic resistance in neonatal units.

  • infection
  • extended spectrum β lactamases
  • antibiotic resistance
  • Klebsiella

https://doi.org/10.1136/adc.2005.074963

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    Footnotes

    • Competing interests: none declared