Emerging Microbiological Trends in Candiduria

this for granted. After Okinawa was returned to Japan in 1972, the program continued and so did the practice of Gram staining. Okinawa was a haven against managed care, extreme litigation, and the tendency to prescribe broad-spectrum antibiotics. Gram staining remained an integral part of clinical care. Currently, you can still see the white coats of house staff tainted with blue and red dots after long hours of Gram staining. Okinawa Chubu hospital could be called the “Galapagos of hospitals,” isolated, as it is, from pernicious forces of change. Unfortunately, Okinawa kept a distance not just from the United States but also from mainland Japan. Most of Japan’s hospitals failed to be influenced by the exemplary practice near us. In Japan, the tendency to prescribe broad-spectrum antibiotics resulted in the explosion of antibiotic resistance. Japan also needs to learn from Okinawa Chubu Hospital, where good American practice is still vividly alive.