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Reemergence of Established Pathogens in the 21st Century (Hardcover, 2003 ed.)
Loot Price: R4,670
Discovery Miles 46 700
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Reemergence of Established Pathogens in the 21st Century (Hardcover, 2003 ed.)
Series: Emerging Infectious Diseases of the 21st Century
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In the closing decade of the last century, we saw warnings that
infectious diseases will require much more attention from patients
and physicians in the 21 st century. Recently d- covered diseases
such as AIDS pose a major threat to the population at large, and to
that threat has been added the re-emergence of established
pathogens, microbes that were re- ily treatable in the past. Since
infectious diseases already play a major role in the burden of
illness and mortality, health care providers and planners are
worried. A large proportion of the problem is man-made, arising
mainly from the unnecessary overuse of antimicrobials in hospital
and community settings and from the agricultural misuse of the
agents in animal feed. A consequence has been a dramatic increase
in resi- ant strains of bacteria that were considered conquerable
several decades ago. Community infections caused by multi-resistant
pneumococci serve as an example. These organisms were readily
treated with penicillin, but now the spread of penicillin-resistant
Streptococcus pneumoniae from continent to continent is becoming a
worldwide problem. This is a major concern because pneumococcal
infections are common in the community, being the le- ing cause of
pneumonia, sinusitis, and meningitis. Resistant bacteria in
hospitals are also becoming more prevalent. We have become
accustomed to hearing about methicill- resistant Staphylococcus
aureus (MRSA) and vancomycin-resistant enterococci (VRE), but now
we have to be concerned about multidrug-resistant coliform bacteria
and pseudomonads.
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