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Antibiotic Stewardship

The Lower-Extremity Physician's Prescription for Effectively Treating Infection

Robert G. Smith DPM, MSc, RPh, CPed1 and Warren S. Joseph DPM2
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  • 1 Shoe String Podiatry, Ormond Beach, FL.
  • | 2 JAPMA, Huntingdon Valley, PA.
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The discovery of antibiotic drugs was one of the most significant medical achievements of the 20th century. The improper use of antibiotic drugs to prevent and treat infections has resulted in the emergence of resistance. Antimicrobic stewardship programs are becoming a mainstay in the fight against multidrug-resistant organisms. Individual clinicians should be encouraged to adopt the principles of antibiotic stewardship when treating lower-extremity infections in their scope of practice. First, a review of the available literature outlining the concept and practice of antibiotic stewardship is offered. Second, a discussion describing how to adopt and apply these principles to the individual clinician's practice as it applies to lower-extremity infections is offered. Finally, specific antimicrobial pharmacologic spectra and antibiogram information are offered.

Corresponding author: Robert G. Smith, DPM, MSc, RPh, CPed, Shoe String Podiatry, 723 Lucerne Cir, Ormond Beach, FL 32174. (E-mail: ASamaan@cfl.rr.com)