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January 28, 1998

Antibiotic Prescribing and Respiratory Tract Infections

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(4):271-273. doi:10.1001/jama.279.4.271

To the Editor.—The role of physician practice in the emergence of drug-resistant bacteria has been highlighted anew by the recent report of vancomycin-resistant Staphylococcus aureus.1Shortly thereafter, Dr Gonzales and colleagues2and Dr Schwartz and colleagues3issued another call for physicians, especially those in outpatient practice, to modify their prescribing patterns. This focus on ambulatory settings is ironic, given that the case described (a patient on long-term ambulatory dialysis who had received multiple courses of vancomycin for repeated episodes of peritonitis associated with methicillin-resistant S aureus) is hardly a typical office encounter.1

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