Antibiotic Resistance: A Guide for Effective Prescribing in Women's Health


  • Valerie A. Roe CNM, MS

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    • Valerie A. Roe, CNM, MS, is an assistant professor in the midwifery education program at SUNY Downstate Medical Center. Her ambulatory clinical practice is with MIC Women's Health Services & The Brooklyn Hospital Center in Brooklyn, NY.

SUNY Downstate Medical Center, Box 1227, Midwifery Education Program, 450 Clarkson Ave., Brooklyn, NY 11203. E-mail:


Current national and international trends in antibiotic resistance are becoming a public health crisis. Multi-drug resistant organisms are more prevalent in hospital settings and, alarmingly, are now being identified in the community. Over-reliance on broad-spectrum antibiotics, as well as inappropriate prescribing practices, play a significant role in encouraging the emergence of resistant organisms. This article reviews the mechanisms of bacterial resistance, current trends in national and international antibiotic resistance, and examines approaches to combat pathogens while sparing benign microbes.