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Antimicrobial use, with regard to both individual use and total antimicrobial consumption in the community, is strongly associated with nasopharyngeal carriage of penicillin resistant pneumococci in children. Control measures to reduce the prevalence of penicillin resistant pneumococci should include reducing the use of antimicrobials in community health care.
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BMJ
University of Iceland
National University Hospital of Iceland
Reykjavík Energy (Iceland)
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Arason et al. (Sat,) studied this question.