Principles and Practice of Antibiotic Stewardship in the ICU

Overview

Journal Chest

Publisher Elsevier

Specialty Pulmonary Medicine

Date 2019 Jan 29

PMID 30689983

Citations 39

Authors

Chiagozie I Pickens

Richard G Wunderink

Affiliations

Soon will be listed here.

Abstract

In the face of emerging drug-resistant pathogens and a decrease in the development of new antimicrobial agents, antibiotic stewardship should be practiced in all critical care units. Antibiotic stewardship should be a core competency of all critical care practitioners in conjunction with a formal antibiotic stewardship program (ASP). Prospective audit and feedback, and antibiotic time-outs, are effective components of an ASP in the ICU. As rapid diagnostics are introduced in the ICU, assessment of performance and effect on outcomes will clearly be needed. Disease-specific stewardship for community-acquired pneumonia that relies on clinical pathways may be particularly high-yield. Computerized decision support has the potential to individualize stewardship for specific patients. Finally, infection control and prevention is the cornerstone of every ASP.

Citing Articles

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