This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Catherine M. Wilfert, MD; SUYDAM OSTERHOUT, MD, PhD
Duke University Medical Center Durham, NC

Mary Castle, RN, MPH
University of Colorado Medical Center Denver

Thomas R. Cate, MD
Baylor College of Medicine Houston, Tex

JAMA. 1978;239(13):1280-1281.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Dr Finley's comments are appreciated. The 50 patients whose records were reviewed were selected in a completely random manner. The appraisal of the antibiotic management was accomplished individually by three physicians prior to the assignment of the terms "inappropriate" or "appropriate." Examples of the criteria employed are (1) no evidence of infection and no indicated reason for prophylaxis, and (2) no bacterial cultures obtained, or an organism isolated but resistant to the drug employed.

Antibiotics are one of the most frequently prescribed groups of drugs, and in the best interests of patient management, we must continue to use antimicrobial agents wisely to achieve effective therapy, to try to minimize the development of resistant organisms, and to reduce costs of treatment if two equally effective antimicrobial agents are available. These problems have been carefully considered in the report by Kunin et al.¹ In 1977 the ad hoc . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?