This is Doctor P Wilson Consultant Microbiologist at University College London Hospitals.
I'm going to talk about Controlling Antibiotic Resistance in the community.
I've around 20 years experience looking after
the Camden and Islington Primary Care Trusts
with regards to both antibiotics and infection control.
Bacterial resistance is a worldwide problem although mutation itself is quite rare.
Most of this increasing difficulty is due to an increased use of antibiotics.
The more we use, the more infection becomes resistant.
Suboptimal dosing usually due to
poor compliance in a part of the patient is also a real problem.
And a further contributor is the use of growth promoting antibiotics in animals.
For example, Ava Paulsen has been used for many years at least until
the last couple of years to make the weight of chickens greater.
Surveillance is useful because it can tell us
how much bacteria resistance there is in a local community.
And we can feedback to the clinicians
what their appropriate use of antibiotics in the community should be.
And thereby, giving some measure of control over bacterial resistance.