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Updated Jul. 14, 2010
 
 
 
SPECIAL EDITION
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ISSUE: SEPTEMBER, 2009   printer friendly  |   email this article

The Supply and Demand for Antibiotics: Methicillin-Resistant Staphylococcus aureus (MRSA) Bacteremia as an Example

BARRY EISENSTEIN, MD, FACP, FIDSA
Senior VP, Scientific Affairs
Cubist Pharmaceuticals

Clinical Professor of Medicine
Harvard Medical School
Boston, Massachusetts

The initiation of the antibiotic era 7 decades ago led to extraordinary progress in the treatment of serious and often fatal bacterial infections. In the early part of that era, however, there was a lack of appreciation for mutation, genetic transfer, and Darwinian selection of resistant bacteria by the use (and overuse) of antibiotics. As a result, for decades, physicians were relatively indiscriminate in routinely using antibiotics for even trivial infections (many caused by viruses), which led to inappropriate expectations of their use by patients.

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