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Although most clinicians are aware of the problem of antimicrobial
resistance, most also underestimate its significance in their own
hospital. The incorrect and inappropriate use of antibiotics and
other antimicrobials, as well as poor prevention and poor control
of infections, are contributing to the development of such
resistance. Appropriate use of antibiotics and compliance with
infection prevention and control measures should be integral
aspects of good clinical practice and standards of care. However,
these activities are often inadequate among clinicians, and there
is a considerable gap between the best evidence and actual clinical
practice. In hospitals, cultural determinants influence clinical
practice, and improving behaviour in terms of infection prevention
and antibiotics-prescribing practice remains a challenge. Despite
evidence supporting the effectiveness of best practices, many
clinicians fail to implement them, and evidence-based processes and
practices that are known to optimize both the prevention and the
treatment of infections tend to be underused. Addressing precisely
this problem, this volume offers an essential toolkit for all
surgeons and intensivists interested in improving their clinical
practices.
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