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With innate resistance an entire bacterial species or a certain percentage of a population are naturally resistant to a drug. For example, Pseudomonas aeruginosa has always been resistant to flucloxacillin.
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New drugs come on the market, and others are withdrawn or reclassified. Reliable sources of information are the British National Formulary, the British Pharmacopoeia and summaries of product characteristics supplied by medicines manufacturers. Official bodies concerned with the use, quality and safety of medicines are the Commission on Human Medicines, the Medicines and Healthcare Products Regulatory Agency and the National Institute for Health and Clinical Excellence. Patient compliance is important for successful drug therapy. Compliance in this context is defined as the extent to which the patient follows the clinical prescription. Non-compliance and reasons why patients do not always take drugs as prescribed should be appreciated.
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In most other cases, there is only a slow progression towards respiratory failure. Symptoms start initially with a winter-only productive cough through to a persistent productive cough often associated with frequent respiratory infection.
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Independent prescribing would grow out of supplementary prescribing for specific conditions and particular patient groups. Nuclear medicine is worthy of special mention for three reasons: Medicines for Human Use Miscellaneous Amendments Order, While working within nuclear medicine, technicians and radiographers often have similar responsibilities.
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