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.
Original language | English (US) |
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Pages (from-to) | 163-171 |
Number of pages | 9 |
Journal | CHEST |
Volume | 156 |
Issue number | 1 |
DOIs | |
State | Published - Jul 2019 |
Funding
FUNDING/SUPPORT: Dr Pickens is supported by National Institutes of Health/National Heart, Lung, and Blood Institute T32 HL076139 Training Program in Lung Sciences grant. FUNDING/SUPPORT: Dr Pickens is supported by National Institutes of Health/ National Heart, Lung, and Blood Institute T32 HL076139 Training Program in Lung Sciences grant. Financial/nonfinancial disclosures: None declared. FUNDING/SUPPORT: Dr Pickens is supported by National Institutes of Health/ National Heart, Lung, and Blood Institute T32 HL076139 Training Program in Lung Sciences grant.
Keywords
- antibiotic
- resistance
- stewardship
ASJC Scopus subject areas
- Critical Care and Intensive Care Medicine
- Cardiology and Cardiovascular Medicine
- Pulmonary and Respiratory Medicine