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Related Concept Videos

Antibiotic Selection00:57

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Combined Effects of Drugs: Synergism01:27

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Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
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Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
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Generic intravenous (IV) drugs are considered bioequivalent to their branded counterparts due to their 100% bioavailability upon administration. However, variations in stability among different drug products can significantly influence their therapeutic performance, even if they are pharmaceutically equivalent.Cefuroxime, a prophylactic antimicrobial, is often used as a single-dose IV injection for patients undergoing coronary artery bypass grafting surgery. A 3 g dose typically provides...
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Biological agents offer an effective means of controlling microbial growth by leveraging natural processes like predation, competition, and the secretion of antimicrobial substances.Predatory bacteria such as Bdellovibrio species target and kill pathogens like Salmonella and E. coli. They are widely used in poultry farms to control infections. Myxococcus species help combat plant-pathogenic fungi. These naturally occurring predators serve as eco-friendly alternatives to chemical pesticides and...
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Related Experiment Video

Updated: Jan 3, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Restricting high-end antibiotics usage - challenge accepted!

J Jayalakshmi1, M S Priyadharshini1

  • 1Department of Microbiology, P.S.G. Institute of Medical, Sciences and Research, Coimbatore, Tamil Nadu, India.

Journal of Family Medicine and Primary Care
|November 20, 2019
PubMed
Summary

Judicious use of high-end antibiotics improved significantly after educational interventions, reducing unjustified prescriptions by 51.2%. This highlights the importance of antimicrobial stewardship for better patient outcomes and combating resistance.

Keywords:
Antibioticsantimicrobial resistanceantimicrobial stewardshipauditrestricted antibiotics usage

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Area of Science:

  • Infectious Diseases
  • Clinical Pharmacy
  • Hospital Administration

Background:

  • Antimicrobial resistance (AMR) poses a significant threat, increasing morbidity, mortality, and healthcare costs.
  • The misuse of antimicrobials accelerates the development of AMR.
  • Antimicrobial stewardship programs, including preauthorization and restricted use of high-end antibiotics, are crucial for managing AMR.

Purpose of the Study:

  • To assess the judicious usage of high-end antibiotics in hospitalized patients.
  • To evaluate the impact of educational interventions on antibiotic prescribing practices.

Main Methods:

  • A prospective observational study was conducted over three months.
  • Data on high-end antibiotic usage were collected using a structured proforma.
  • Department-wise educational interventions and feedback were provided, followed by reassessment.

Main Results:

  • Meropenem was the most frequently used high-end antibiotic.
  • Educational interventions led to a 51.2% reduction in unjustified antibiotic usage.
  • The appropriateness of antibiotic usage increased from 77% pre-intervention to 88% post-intervention.

Conclusions:

  • Sustained compliance with judicious high-end antibiotic use is essential.
  • Continuous strengthening of antimicrobial stewardship practices is critical for combating AMR.