J E McGowan

Summary

Affiliation: Emory University
Country: USA

Publications

  1. pmc Class 1 integrons in resistant Escherichia coli and Klebsiella spp., US hospitals
    Aarati N Rao
    Emory University, Atlanta, Georgia 30322, USA
    Emerg Infect Dis 12:1011-4. 2006
  2. ncbi request reprint Does antimicrobial resistance cluster in individual hospitals?
    John E McGowan
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA
    J Infect Dis 186:1362-5. 2002
  3. ncbi request reprint Debate-guidelines for control of glycopeptide-resistant enterococci (GRE) have not yet worked
    J E McGowan
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    J Hosp Infect 57:281-4. 2004
  4. ncbi request reprint Resistance in nonfermenting gram-negative bacteria: multidrug resistance to the maximum
    John E McGowan
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA
    Am J Med 119:S29-36; discussion S62-70. 2006
  5. pmc Economic impact of antimicrobial resistance
    J E McGowan
    Emory University School of Medicine, Atlanta, Georgia, USA
    Emerg Infect Dis 7:286-92. 2001
  6. ncbi request reprint Resistance in nonfermenting gram-negative bacteria: multidrug resistance to the maximum
    John E McGowan
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    Am J Infect Control 34:S29-37; discussion S64-73. 2006
  7. ncbi request reprint Confronting bacterial resistance in healthcare settings: a crucial role for microbiologists
    John E McGowan
    Department of Epidemiology, Rollins School of Public Health of Emory University, 1518 Clifton Road, Atlanta, Georgia 30322, USA
    Nat Rev Microbiol 2:251-8. 2004
  8. doi request reprint Cooking fuel type, household ventilation, and the risk of acute lower respiratory illness in urban Bangladeshi children: a longitudinal study
    E L Murray
    Department of Epidemiology, Rollins School of Public Health of Emory University, Atlanta, GA, USA
    Indoor Air 22:132-9. 2012
  9. ncbi request reprint Surveillance of antimicrobial use and antimicrobial resistance in United States hospitals: project ICARE phase 2. Project Intensive Care Antimicrobial Resistance Epidemiology (ICARE) hospitals
    S K Fridkin
    Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    Clin Infect Dis 29:245-52. 1999
  10. ncbi request reprint The effect of vancomycin and third-generation cephalosporins on prevalence of vancomycin-resistant enterococci in 126 U.S. adult intensive care units
    S K Fridkin
    Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, MS A 35, 1600 Clifton Road, Atlanta, GA 30333, USA
    Ann Intern Med 135:175-83. 2001

Detail Information

Publications56

  1. pmc Class 1 integrons in resistant Escherichia coli and Klebsiella spp., US hospitals
    Aarati N Rao
    Emory University, Atlanta, Georgia 30322, USA
    Emerg Infect Dis 12:1011-4. 2006
    ..Thus, determining integron epidemiology will improve understanding of how antibacterial resistance determinants spread in the United States...
  2. ncbi request reprint Does antimicrobial resistance cluster in individual hospitals?
    John E McGowan
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA
    J Infect Dis 186:1362-5. 2002
    ..pneumoniae was significantly correlated with the majority of other sentinel antimicrobial-resistant organisms. High prevalence of this organism may serve as a marker for more generalized resistance problems in hospital inpatient areas...
  3. ncbi request reprint Debate-guidelines for control of glycopeptide-resistant enterococci (GRE) have not yet worked
    J E McGowan
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    J Hosp Infect 57:281-4. 2004
    ..Until then, it is clear that guidelines for control of GRE have not worked. New guidelines that truly control GRE must be developed, and this must be done quickly...
  4. ncbi request reprint Resistance in nonfermenting gram-negative bacteria: multidrug resistance to the maximum
    John E McGowan
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA
    Am J Med 119:S29-36; discussion S62-70. 2006
    ..Improved antibiotic stewardship and infection-control measures will be needed to prevent or slow the emergence and spread of multidrug-resistant, nonfermenting gram-negative bacilli in the healthcare setting...
  5. pmc Economic impact of antimicrobial resistance
    J E McGowan
    Emory University School of Medicine, Atlanta, Georgia, USA
    Emerg Infect Dis 7:286-92. 2001
    ..Studies to describe and evaluate the problem will have to employ new methods and be of large scale to produce information that is broadly applicable...
  6. ncbi request reprint Resistance in nonfermenting gram-negative bacteria: multidrug resistance to the maximum
    John E McGowan
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    Am J Infect Control 34:S29-37; discussion S64-73. 2006
    ..Improved antibiotic stewardship and infection-control measures will be needed to prevent or slow the emergence and spread of multidrug-resistant, nonfermenting gram-negative bacilli in the healthcare setting...
  7. ncbi request reprint Confronting bacterial resistance in healthcare settings: a crucial role for microbiologists
    John E McGowan
    Department of Epidemiology, Rollins School of Public Health of Emory University, 1518 Clifton Road, Atlanta, Georgia 30322, USA
    Nat Rev Microbiol 2:251-8. 2004
  8. doi request reprint Cooking fuel type, household ventilation, and the risk of acute lower respiratory illness in urban Bangladeshi children: a longitudinal study
    E L Murray
    Department of Epidemiology, Rollins School of Public Health of Emory University, Atlanta, GA, USA
    Indoor Air 22:132-9. 2012
    ..Structural factors that might improve household air circulation and exchange were associated with decreased ALRI risk. Improved natural ventilation might reduce ALRI among children in low-income families...
  9. ncbi request reprint Surveillance of antimicrobial use and antimicrobial resistance in United States hospitals: project ICARE phase 2. Project Intensive Care Antimicrobial Resistance Epidemiology (ICARE) hospitals
    S K Fridkin
    Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    Clin Infect Dis 29:245-52. 1999
    ..These comparative data on use and resistance among similar areas (i.e., ICU or other inpatient areas) can be used as a benchmark by participating hospitals to focus their efforts at addressing antimicrobial resistance...
  10. ncbi request reprint The effect of vancomycin and third-generation cephalosporins on prevalence of vancomycin-resistant enterococci in 126 U.S. adult intensive care units
    S K Fridkin
    Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, MS A 35, 1600 Clifton Road, Atlanta, GA 30333, USA
    Ann Intern Med 135:175-83. 2001
    ..Identifying modifiable institutional factors can advance quality-improvement efforts to minimize hospital-acquired infections with VRE...
  11. ncbi request reprint Determinants of vancomycin use in adult intensive care units in 41 United States hospitals
    S K Fridkin
    Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    Clin Infect Dis 28:1119-25. 1999
    ..Efforts to reduce these rates through infection control activities should be included in hospitals' efforts to reduce vancomycin use...
  12. ncbi request reprint Longitudinal analysis of community health workers' adherence to treatment guidelines, Siaya, Kenya, 1997-2002
    S Y Rowe
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA
    Trop Med Int Health 12:651-63. 2007
    ..To investigate community health workers' (CHW) adherence over time to guidelines for treating ill children and to assess the effect of refresher training on adherence...
  13. ncbi request reprint Antimicrobial resistance prevalence rates in hospital antibiograms reflect prevalence rates among pathogens associated with hospital-acquired infections
    S K Fridkin
    Hospital Infections Program, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
    Clin Infect Dis 33:324-30. 2001
    ..Hospital antibiograms may underestimate the relative frequency of methicillin resistance among Staphylococcus species when associated with hospital-acquired infections...
  14. pmc Comparison of agar dilution, disk diffusion, MicroScan, and Vitek antimicrobial susceptibility testing methods to broth microdilution for detection of fluoroquinolone-resistant isolates of the family Enterobacteriaceae
    C D Steward
    Hospital Infections Program, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    J Clin Microbiol 37:544-7. 1999
    ..However, the high number of minor errors by all test systems remains a concern...
  15. pmc Characterization of clinical isolates of Klebsiella pneumoniae from 19 laboratories using the National Committee for Clinical Laboratory Standards extended-spectrum beta-lactamase detection methods
    C D Steward
    Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    J Clin Microbiol 39:2864-72. 2001
    ..The remaining 11.5% of the isolates studied contained beta-lactamases that did not demonstrate a CA effect. An algorithm based on phenotypic analyses is suggested for evaluation of such isolates...
  16. ncbi request reprint In vitro activities of Daptomycin, Linezolid, and Quinupristin-Dalfopristin against a challenge panel of Staphylococci and Enterococci, including vancomycin-intermediate staphylococcus aureus and vancomycin-resistant Enterococcus faecium
    Laura A Jevitt
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
    Microb Drug Resist 9:389-93. 2003
    ..Population analysis of three S. aureus isolates for which the daptomycin MICs were 8 microg/ml showed a pattern of homogeneous resistance...
  17. ncbi request reprint Increasing threat of Gram-positive bacterial infections in the intensive care unit setting
    J E McGowan
    Department of Epidemiology, Rollins School of Public Health of Emory University, Atlanta, GA, USA
    Crit Care Med 29:N69-74. 2001
    ..Intensivists have been prominent in research and control efforts in this field and should continue to lead future efforts...
  18. doi request reprint Importance of bacterial burden among methicillin-resistant Staphylococcus aureus carriers in a long-term care facility
    Nimalie D Stone
    Emory University School of Medicine, Emory University, Atlanta, Georgia, USA
    Infect Control Hosp Epidemiol 29:143-8. 2008
    ..To evaluate the prevalence and transmission of methicillin-resistant Staphylococcus aureus (MRSA) nasal colonization, as well as risk factors associated with MRSA carriage, among residents of a long-term care facility (LTCF)...
  19. ncbi request reprint Initial and follow-up costs by treatment outcome for children with respiratory infections
    David H Howard
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA
    Pediatrics 113:1352-6. 2004
    ..To estimate the initial and follow-up costs of treatment of respiratory infections among pediatric patients and the relationship between costs and outcomes...
  20. pmc Multicenter evaluation of the Etest and disk diffusion methods for differentiating daptomycin-susceptible from non-daptomycin-susceptible Staphylococcus aureus isolates
    Laura A Jevitt
    Division of Healthcare Quality Promotion, G 08, Centers for Disease Control and Prevention, 1600 Clifton Rd, NE, Atlanta, GA 30333, USA
    J Clin Microbiol 44:3098-104. 2006
    ..In 2005, daptomycin disks were voluntarily removed from the market by Cubist Pharmaceuticals. The disk diffusion breakpoints were subsequently removed from the CLSI M100 standard in 2006...
  21. pmc Temporal changes in prevalence of antimicrobial resistance in 23 US hospitals
    Scott K Fridkin
    Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    Emerg Infect Dis 8:697-701. 2002
    ..The increases seen are of concern; differences in factors present outside ICUs, such as excessive quinolone use or inadequate infection-control practices, may explain the observed trends...
  22. pmc Comparison of disk diffusion, VITEK 2, and broth microdilution antimicrobial susceptibility test results for unusual species of Enterobacteriaceae
    Nimalie D Stone
    Division of Infectious Diseases, Emory University School of Medicine, 69 Jesse Hill, Jr, Dr S E, Atlanta, GA 30303, USA
    J Clin Microbiol 45:340-6. 2007
    ..In summary, disk diffusion provides a reliable alternative to BMD for testing of unusual Enterobacteriaceae, some of which cannot be tested, or produce incorrect results, by automated methods...
  23. doi request reprint Hospitalization earlier than 1 year prior to admission as an additional risk factor for methicillin-resistant Staphylococcus aureus colonization
    Laura McAllister
    Division of Healthcare Quality and Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA
    Infect Control Hosp Epidemiol 31:538-40. 2010
    ..In addition, both the time that elapsed since the most recent hospitalization and the duration of that hospitalization affected risk...
  24. doi request reprint Antimicrobial resistance: international control strategies, with a focus on limited-resource settings
    Carlos A DiazGranados
    Department of Medicine Infectious Diseases, Emory University School of Medicine, 49 Jesse Hill Jr Drive, Atlanta, GA 30303, USA
    Int J Antimicrob Agents 32:1-9. 2008
    ..Both medical and public health agencies should be in the forefront of these efforts...
  25. ncbi request reprint Resistance to antimicrobial chemotherapy: a prescription for research and action
    B R Levin
    Emory University, Atlanta, Georgia 30322, USA
    Am J Med Sci 315:87-94. 1998
    ..It concludes with an update on the theoretical and empirical research on the between- and within-host population biology and evolution of resistance to antimicrobial chemotherapy most of which has been done since that meeting...
  26. pmc Applying economic principles to health care
    R D Scott
    Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    Emerg Infect Dis 7:282-5. 2001
    ..The information provided by hospital epidemiologists is critical to understanding health-care production processes used by a hospital and developing economic incentives to promote antibiotic effectiveness and infection control...
  27. pmc Characterisation of a Staphylococcus aureus strain with progressive loss of susceptibility to vancomycin and daptomycin during therapy
    Fred C Tenover
    Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA
    Int J Antimicrob Agents 33:564-8. 2009
    ..Concurrent development of resistance to vancomycin and daptomycin, whilst rare, must be considered in a patient who is unresponsive to daptomycin following vancomycin therapy...
  28. pmc Antimicrobial susceptibility testing of carbapenems: multicenter validity testing and accuracy levels of five antimicrobial test methods for detecting resistance in Enterobacteriaceae and Pseudomonas aeruginosa isolates
    Christine D Steward
    Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    J Clin Microbiol 41:351-8. 2003
    ....
  29. doi request reprint Rainfall, household crowding, and acute respiratory infections in the tropics
    E L Murray
    Department of Epidemiology, Rollins School of Public Health of Emory University, Atlanta, GA, USA
    Epidemiol Infect 140:78-86. 2012
    ..These findings suggest that rainfall may be increasing exposure to crowded conditions, thus leading to an increased risk of ARI, but that additional factors not captured by this analysis may also play a role...
  30. ncbi request reprint Validation of Vitek version 7.01 software for testing staphylococci against vancomycin
    P M Raney
    Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
    Diagn Microbiol Infect Dis 43:135-40. 2002
    ..01 software, when compared to earlier software versions, laboratories may notice an overall shift in MIC data toward higher vancomycin MICs, although for the most part, this does not affect the categorical interpretations of the results...
  31. pmc Accuracy of six antimicrobial susceptibility methods for testing linezolid against staphylococci and enterococci
    Fred C Tenover
    Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA 30333, USA
    J Clin Microbiol 45:2917-22. 2007
    ..These data, from a challenge panel of isolates, illustrate that the recent emergence of linezolid-nonsusceptible staphylococci and enterococci is providing a challenge for many susceptibility testing systems...
  32. pmc Testing for induction of clindamycin resistance in erythromycin-resistant isolates of Staphylococcus aureus
    Christine D Steward
    Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Road, NE, Atlanta, GA 30333, USA
    J Clin Microbiol 43:1716-21. 2005
    ..Thus, at present, disk diffusion is the preferred method for testing S. aureus isolates for inducible CLI resistance...
  33. ncbi request reprint Risk factors for methicillin-resistance among patients with Staphylococcus aureus bacteremia at the time of hospital admission
    Nilton A Rezende
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
    Am J Med Sci 323:117-23. 2002
    ..Characteristics permitting recognition of patients with such strains would aid infection control efforts and choice of empiric therapy pending culture and susceptibility results...
  34. ncbi request reprint Investigation of inducible clindamycin and telithromycin resistance in isolates of beta-hemolytic streptococci
    Patti M Raney
    Division of Healthcare Quality Promotion, Centers of Disease Control and Prevention, Atlanta, GA 30333, USA
    Diagn Microbiol Infect Dis 55:213-8. 2006
    ....
  35. pmc Carbapenem resistance in Klebsiella pneumoniae not detected by automated susceptibility testing
    Fred C Tenover
    Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333, USA
    Emerg Infect Dis 12:1209-13. 2006
    ..The recognition of carbapenem-resistant K. pneumoniae continues to challenge automated susceptibility systems...
  36. pmc Evaluation of the NCCLS extended-spectrum beta-lactamase confirmation methods for Escherichia coli with isolates collected during Project ICARE
    Fred C Tenover
    Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    J Clin Microbiol 41:3142-6. 2003
    ..NCCLS has incorporated this change in the cefpodoxime screening breakpoint in its recent documents...
  37. ncbi request reprint The infection control practitioner: an action plan for the 1990s
    J E McGowan
    Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA
    Am J Infect Control 18:29-39. 1990
    ..Such actions help assure recognition of the continuing important role of the ICP and the hospital infection control program in each U.S. hospital and long-term care institution...
  38. ncbi request reprint The influence of observation and setting on community health workers' practices
    S Y Rowe
    Department of Epidemiology, Emory University, Atlanta, GA, USA
    Int J Qual Health Care 18:299-305. 2006
    ..To determine whether results from an evaluation that involved observation of community health workers while they performed patient consultations in a hospital reflected normal everyday practices...
  39. pmc Experimental prediction of the evolution of ceftazidime resistance in the CTX-M-2 extended-spectrum beta-lactamase
    Kerry J Welsh
    Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Rd, Atlanta, GA 30322, USA
    Antimicrob Agents Chemother 49:1242-4. 2005
    ..All alleles had a Pro-to-Ser substitution at position 167...
  40. pmc Identification of plasmid-mediated AmpC beta-lactamases in Escherichia coli, Klebsiella spp., and proteus species can potentially improve reporting of cephalosporin susceptibility testing results
    Fred C Tenover
    Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    J Clin Microbiol 47:294-9. 2009
    ..Thus, additional data are needed before formal recommendations can be made on changing the reporting of ASC test results...
  41. pmc Multiple-locus variable-number tandem-repeat assay analysis of methicillin-resistant Staphylococcus aureus strains
    Fred C Tenover
    Division of Healthcare Quality Promotion G 08, Centers for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA 30333, USA
    J Clin Microbiol 45:2215-9. 2007
    ..The ability of MLVA to differentiate among strains that are indistinguishable by PFGE may be of epidemiologic value and warrants further study...
  42. pmc Monitoring antimicrobial use and resistance: comparison with a national benchmark on reducing vancomycin use and vancomycin-resistant enterococci
    Scott K Fridkin
    Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    Emerg Infect Dis 8:702-7. 2002
    ..5% compared with mean increase of 5.7%, p<0.001). In this study, practice changes focused towards specific ICUs were associated with decreases in ICU vancomycin use and VRE prevalence...
  43. pmc Comparison of typing results obtained for methicillin-resistant Staphylococcus aureus isolates with the DiversiLab system and pulsed-field gel electrophoresis
    Fred C Tenover
    Centers for Disease Control and Prevention, Atlanta, Georgia, 30333, USA
    J Clin Microbiol 47:2452-7. 2009
    ....
  44. pmc Optimization of computer software settings improves accuracy of pulsed-field gel electrophoresis macrorestriction fragment pattern analysis
    William M Duck
    Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322 and Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA
    J Clin Microbiol 41:3035-42. 2003
    ....
  45. pmc Utility of NCCLS guidelines for identifying extended-spectrum beta-lactamases in non-Escherichia coli and Non-Klebsiella spp. of Enterobacteriaceae
    Mitchell J Schwaber
    Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA
    J Clin Microbiol 42:294-8. 2004
    ..does not appear to be warranted in the United States at present, since the test has poor specificity for this population and would result in changes in categorical interpretations for only 1.7% of Enterobacteriaceae tested...
  46. ncbi request reprint Minimizing antimicrobial resistance: the key role of the infectious diseases physician
    John E McGowan
    Clin Infect Dis 38:939-42. 2004
  47. doi request reprint Health care-associated pneumonia (HCAP): a critical appraisal to improve identification, management, and outcomes--proceedings of the HCAP Summit
    Marin H Kollef
    Division of Pulmonary and Critical Care Medicine, Washington University School of Medicine, St Louis, Missouri 63110, USA
    Clin Infect Dis 46:S296-334; quiz 335-8. 2008
    ..The results were then compared with results of the same survey as completed by 744 Infectious Diseases Society of America members. The similarities and differences between those survey results are the basis of this publication...
  48. doi request reprint In vitro activity of ceftobiprole against coagulase-negative staphylococci isolated in the USA
    Velusamy Srinivasan
    Int J Antimicrob Agents 31:294-6. 2008
  49. ncbi request reprint Antimicrobial resistance prevention initiative--an update: proceedings of an expert panel on resistance
    Robert C Moellering
    Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
    Am J Infect Control 35:S1-23; quiz S24-6. 2007
    ..The challenges in each area are different, but the general keys to addressing the growing problem of antimicrobial resistance continue to be responsible antimicrobial stewardship and the development of newer antimicrobial agents...
  50. ncbi request reprint Patterns of health care resource utilization after macrolide treatment failure: results from a large, population-based cohort with acute sinusitis, acute bronchitis, and community-acquired pneumonia
    Jasmanda H Wu
    Global Pharmacovigilance and Epidemiology, Aventis Pharmaceuticals, 200 Crossing Boulevard, Mailcode BWX 400 406E, Bridgewater, NJ 08807, USA
    Clin Ther 26:2153-62. 2004
    ..Macrolide antibiotics are used as first-line therapy for the treatment of respiratory tract infections. The recent emergence of macrolide-resistant pathogens is a major concern...
  51. ncbi request reprint Effect of multiple interventions on community health workers' adherence to clinical guidelines in Siaya district, Kenya
    Samantha Y Rowe
    Department of Epidemiology, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, 4th Floor, Atlanta, GA 30322, USA
    Trans R Soc Trop Med Hyg 101:188-202. 2007
    ..Despite these limitations, however, our results raise questions about the effectiveness, in the setting of Siaya district, of several interventions commonly used to improve the quality of care given by CHWs...
  52. doi request reprint Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals
    Nicholas Graves
    Institute of Health and Biomedical Innovation, Queensland University of Technology, 60 Musk Ave, Kelvin Grove Urban Village, Kelvin Grove, Queensland, 4059, Australia
    JAMA 300:1577-9. 2008
  53. pmc High rate of mobilization for blaCTX-Ms
    Miriam Barlow
    University of California, Merced, California 95344, USA
    Emerg Infect Dis 14:423-8. 2008
    ..That divergence has mainly occurred in the presence of purifying selection, which indicates a slow rate of evolution for blaCTX-Ms in the pre-antimicrobial drug era...
  54. ncbi request reprint Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America guidelines for developing an institutional program to enhance antimicrobial stewardship
    Timothy H Dellit
    Harborview Medical Center and the University of Washington, Seattle, USA
    Clin Infect Dis 44:159-77. 2007
  55. ncbi request reprint Adherence to infectious diseases society of America guidelines for empiric therapy for patients with community-acquired pneumonia in a commercially insured cohort
    Jasmanda H Wu
    Department of Outcomes Research and Management, Division of US Human Health, Merck and Co, Inc, West Point, Pennsylvania 19486, USA
    Clin Ther 28:1451-61. 2006
    ..There is little published research addressing how the 2003 Infectious Diseases Society of America (IDSA) guidelines for empiric therapy of community-acquired pneumonia (CAP) are implemented in clinical practice...
  56. ncbi request reprint Antimicrobial resistance prevention initiative--an update: proceedings of an expert panel on resistance
    Robert C Moellering
    Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA
    Am J Med 120:S4-25; quiz S26-8. 2007
    ..The challenges in each area are different, but the general keys to addressing the growing problem of antimicrobial resistance continue to be responsible antimicrobial stewardship and the development of newer antimicrobial agents...