However, antibiotic stewardship programs alone are not sufficient to prevent Acinetobacter infections.
Although there is important heterogeneity between ICUs, inappropriate antibiotic use is still common in Germany (as in many other countries), where infectious diseases as a stand-alone speciality and antibiotic stewardship programmes are still underdeveloped [ 14].
Nature can be helped by our careful stewardship, but it does even better when we leave it alone.
However, attributing the level of infection reduction from this particular control method alone is not yet possible because these studies describe stewardship in conjunction with (often unspecified) additional infection control procedures.
No single measure alone can succeed, emphasizing the need to devise a structured antibiotic stewardship program.
Combining this method with either antimicrobial stewardship or prescription of probiotics/bacteriotherapy yielded little additional benefit compared with transmission reduction alone (with marginal improvement attained by combination with antimicrobial stewardship).
He promoted the idea of our stewardship of nature: "Man has too long forgotten that the earth was given to him for usufruct alone, not for consumption, still less for profligate waste".
The Romney camp is already hammering away at the poor performance of the economy under Obama's stewardship, and laying full responsibility for that poor performance at the President's door (and at his door alone).
However, these include studies that examined stewardship in conjunction with infection control procedures [ 54, 55], thereby obscuring the efficacy of reduced prescription rates alone.
Citibank is running ads that promise clients cautious, loyal stewardship and business as usual, with no mention of the frozen credit market and Citigroup's multibillion-dollar bailouts, let alone bonuses and corporate jets.
