Erschienen in:
07.06.2018 | Editorial
Antipathy against SDD is justified: Yes
verfasst von:
Jean-François Timsit, Matteo Bassetti
Erschienen in:
Intensive Care Medicine
|
Ausgabe 7/2018
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Excerpt
In his Nobel Prize lecture in 1945, Fleming pointed out the easiness of making microbes resistant to penicillin “by exposing them to concentrations not sufficient to kill them”. In a famous lecture [
1], Rice generalized this finding and concluded that the most reasonable strategy to minimize resistance is to “stop irritating the bacteria: (1) before therapy begins by treating only patients who are truly infected; (2) during therapy, avoiding the use of combination therapy when a single agent will suffice; (3) at the tail end of therapy, by treating only for as long as is required to cure the infection.” …