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Antibiotic Resistance Threats in the United States, 2013 report

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FIGHTING BACK AGAINST<br />

ANTIBIOTIC RESISTANCE<br />

Four Core Actions to Prevent<br />

<strong>Antibiotic</strong> <strong>Resistance</strong><br />

1<br />

2<br />

PREVENTING INFECTIONS,<br />

PREVENTING THE SPREAD OF RESISTANCE<br />

Avoid<strong>in</strong>g <strong>in</strong>fections <strong>in</strong> <strong>the</strong> first place reduces <strong>the</strong> amount of<br />

antibiotics that have to be used and reduces <strong>the</strong> likelihood that<br />

resistance will develop dur<strong>in</strong>g <strong>the</strong>rapy. There are many ways that<br />

drug-resistant <strong>in</strong>fections can be prevented: immunization, safe<br />

food preparation, handwash<strong>in</strong>g, and us<strong>in</strong>g antibiotics as directed<br />

and only when necessary. In addition, prevent<strong>in</strong>g <strong>in</strong>fections also<br />

prevents <strong>the</strong> spread of resistant bacteria.<br />

TRACKING<br />

CDC ga<strong>the</strong>rs data on antibiotic-resistant <strong>in</strong>fections, causes of<br />

<strong>in</strong>fections and whe<strong>the</strong>r <strong>the</strong>re are particular reasons (risk factors)<br />

that caused some people to get a resistant <strong>in</strong>fection. With that<br />

<strong>in</strong>formation, experts can develop specific strategies to prevent<br />

those <strong>in</strong>fections and prevent <strong>the</strong> resistant bacteria from spread<strong>in</strong>g.<br />

3<br />

4<br />

IMPROVING ANTIBIOTIC PRESCRIBING/STEWARDSHIP<br />

Perhaps <strong>the</strong> s<strong>in</strong>gle most important action needed to greatly slow<br />

down <strong>the</strong> development and spread of antibiotic-resistant <strong>in</strong>fections<br />

is to change <strong>the</strong> way antibiotics are used. Up to half of antibiotic<br />

use <strong>in</strong> humans and much of antibiotic use <strong>in</strong> animals is unnecessary<br />

and <strong>in</strong>appropriate and makes everyone less safe. Stopp<strong>in</strong>g even<br />

some of <strong>the</strong> <strong>in</strong>appropriate and unnecessary use of antibiotics <strong>in</strong><br />

people and animals would help greatly <strong>in</strong> slow<strong>in</strong>g down <strong>the</strong> spread<br />

of resistant bacteria. This commitment to always use antibiotics<br />

appropriately and safely—only when <strong>the</strong>y are needed to treat<br />

disease, and to choose <strong>the</strong> right antibiotics and to adm<strong>in</strong>ister <strong>the</strong>m<br />

<strong>in</strong> <strong>the</strong> right way <strong>in</strong> every case—is known as antibiotic stewardship.<br />

DEVELOPING NEW DRUGS AND DIAGNOSTIC TESTS<br />

Because antibiotic resistance occurs as part of a natural process <strong>in</strong><br />

which bacteria evolve, it can be slowed but not stopped. Therefore,<br />

we will always need new antibiotics to keep up with resistant<br />

bacteria as well as new diagnostic tests to track <strong>the</strong> development<br />

of resistance.<br />

31

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