Management of antibiotic-resistant bacteria.
Optimizing the management of antibiotic resistance is an important strategy in improving outcomes for infectious diseases in older persons. Strategies that manage antibiotic resistance must take into account all clinical settings, because resistant pathogens previously seen only in acute care facilities are becoming increasingly common in long-term care facilities. Recently, modest improvement in therapeutic options for the treatment of infections due to resistant pathogens has become available because of the development of newer antibiotics. Some of these drugs are briefly discussed in this review, but the best strategy is to limit the potential for the development of resistance and transmission of these pathogens. This can best be accomplished by minimizing misuse of antibiotics and maximizing adherence to basic hygiene standards.
Norman
Dean C
DC
VA Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA. dean.norman@med.va.gov
D000368:Aged; D003141:Communicable Diseases / Q000188:drug therapy* / Q000382:microbiology; D024881:Drug Resistance, Bacterial; D005853:Geriatrics; D006235:Hand Disinfection; D006801:Humans; D008134:Long-Term Care; D009735:Nursing Homes; D012499:Sanitation