Epidemiological Interpretation of Studies Examining the Effect of Antibiotic Usage on Resistance

被引：135

作者：

Schechner, Vered ^{[1
]}

Temkin, Elizabeth ^{[1
,2
]}

Harbarth, Stephan ^{[3
,4
,5
]}

Carmeli, Yehuda ^{[1
,2
]}

Schwaber, Mitchell J. ^{[2
]}

机构：

[1] Tel Aviv Univ, Tel Aviv Sourasky Med Ctr, Div Epidemiol & Prevent Med, IL-69978 Tel Aviv, Israel

[2] Israel Minist Hlth, Natl Ctr Infect Control, Tel Aviv, Israel

[3] Univ Hosp Geneva, Div Infect Dis, Geneva, Switzerland

[4] Univ Hosp Geneva, Infect Control Program, Geneva, Switzerland

[5] Univ Geneva, Sch Med, CH-1211 Geneva, Switzerland

来源：

CLINICAL MICROBIOLOGY REVIEWS | 2013年 / 26卷 / 02期

关键词：

GRAM-NEGATIVE BACILLI; INTENSIVE-CARE UNITS; LACTAMASE-PRODUCING ENTEROBACTERIACEAE; URINARY-TRACT-INFECTION; BROAD-SPECTRUM CEPHALOSPORIN; STAPHYLOCOCCUS-AUREUS MRSA; AERUGINOSA RISK-FACTORS; ANTIBACTERIAL DRUG-USE; NESTED CASE-CONTROL; PSEUDOMONAS-AERUGINOSA;

D O I：

10.1128/CMR.00001-13

中图分类号：

Q93 [微生物学];

学科分类号：

071005 ; 100705 ;

摘要：

Bacterial resistance to antibiotics is a growing clinical problem and public health threat. Antibiotic use is a known risk factor for the emergence of antibiotic resistance, but demonstrating the causal link between antibiotic use and resistance is challenging. This review describes different study designs for assessing the association between antibiotic use and resistance and discusses strengths and limitations of each. Approaches to measuring antibiotic use and antibiotic resistance are presented. Important methodological issues such as confounding, establishing temporality, and control group selection are examined.

引用

页码：289 / 307

页数：19

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