ABSTRACT
Emergence of Drug Resistance in the Community ........................................... 378 Public Health Response to Emergence of Drug Resistance in the Community .... 379 Surveillance ....................................................................................................... 380 Epidemiologic Investigations ............................................................................. 381 Prevention and Control ...................................................................................... 382
Vaccination ............................................................................................. 382 Appropriate Use Education Campaigns ................................................. 383 Partnerships ............................................................................................ 384 Educational Materials, Guidelines, Curricula ........................................ 385 Interventions to Promote Judicious Use ................................................. 386
Evaluation and Future Directions ...................................................................... 389 Antimicrobial Resistance in the Inpatient Setting ............................................. 390 Background on the Campaign ........................................................................... 392 Development and Dissemination of the Campaign Programs ........................... 392 Assessing the Campaign .................................................................................... 393 Implementing the Campaign ............................................................................. 401 Next Steps for the Campaign ............................................................................. 403 References .......................................................................................................... 403
In 1998, the Centers for Disease Control and Prevention issued a report, Preventing Emerging Infectious Diseases, which outlined a plan designed to address key emerging infectious disease issues [1]. Antimicrobial resistance was seen as one of the major infectious disease issues facing the world as we entered the new millennium. In 2003, an Institute of Medicine report entitled Microbial Threats to Health reiterated this issue [2]. In this chapter, we review some of the approaches that have been taken to combat antimicrobial resistance in outpatient and inpatient settings.
