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Opinion Why Does Antimicrobial Overuse VIEWPOINT in Hospitalized Patients Persist? God gave the world to men in common; but since he gave it to prescribe antimicrobials in the hospital. And more of- Scott A. Flanders, MD to them for their own benefit…it cannot be supposed he Department of ten than not, as confirmed by Fridkin et al, the interest Medicine, University of meant it should always remain common…. of the “individual” prevails and antimicrobials are pre- Michigan Medical John Locke, Second Treatise of Government, 1689 scribed. This in part reflects a very strong desire on the School, Ann Arbor. part of clinicians to avoid the “chagrin” associated with …you are undone if you once forget that the fruits of the earth withholding antimicrobials in a patient ultimately found Sanjay Saint, MD, belong to us all, and the earth itself to nobody. 6 MPH to have a bacterial infection. So in these daily battles, Jean-Jacques Rousseau, Discourse on Inequality, 1754 Department of the emphasis on individualism espoused by Locke ap- Veterans Affairs Ann pears to rule the day. As a result, there has been little Arbor Healthcare The overuse of antimicrobials leads to the develop- progressinreducingantimicrobialoveruse.Perhapsphy- System, Ann Arbor, Michigan,
JAMA Internal Medicine – American Medical Association
Published: May 1, 2014
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