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Contents and Lead Article

Contents
- Surveillance of antimicrobial resistance in New Zealand
- High incidence of malaria among defence personnel returning from East Timor
- Surveillance and control notes
Lead Article:
Surveillance of antimicrobial resistance in New Zealand
Antimicrobial resistance is now acknowledged as a serious public health
issue not only in hospital settings but also in the community.
Surveillance information on the prevalence and trends in antimicrobial
resistance contributes to the formulation of local and national
antimicrobial treatment guidelines and infection control policies, to
the development of strategies to contain the emergence and spread of
resistance, and to the measurement of the effectiveness of intervention
strategies. Antimicrobial resistance data collected by the Institute of
Environmental Science and Research (ESR) between 1988 and 1999 show an
increase in antimicrobial resistance among many, but not all, clinical
pathogens. In particular there are increases in the prevalence of
methicillin-resistant Staphylococcus aureus, and Streptococcus
pneumoniae resistant to penicillin and third generation cephalosporins.
The limitations of the current surveillance systems and suggestions for
improving surveillance are discussed.
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