Letters Section Editor: Jody W. Zylke, MD, Senior Editor.
Author Affiliations: Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Kirkcaldy and Bolan) (firstname.lastname@example.org); and Department of Global Health, University of Washington, Seattle (Dr Wasserheit).
In Reply: We agree with Drs Klausner and Kerndt that antibiotic stewardship is an important component of controlling antibiotic resistance, and we support such efforts as sound clinical and public health practice. For many bacterial pathogens, antibiotic consumption appears to promote the emergence of resistance, and judicious antibiotic use may reduce the prevalence of resistance.1
Kirkcaldy RD, Bolan GA, Wasserheit JN. Cephalosporin Resistance in Neisseria gonorrhoeae Infections—Reply. JAMA. 2013;309(19):1989-1991. doi:10.1001/jama.2013.4084