Influences of alternate therapy protocol and continuous infectious disease consultation on antibiotic susceptibility in ICU.

Intensive Care Med

Uludağ University, School of Medicine, Department of Microbiology and Infectious Diseases, 16 059 Görükle, Bursa, Turkey.

Published: September 1999

AI Article Synopsis

  • The study investigated the impact of alternating imipenem and cefoperazone/sulbactam on antibiotic resistance in an ICU setting.
  • Between April 1993 and April 1994, patients were treated without alternative therapy, while the following two years involved daily follow-ups and a new therapy protocol.
  • The research found that the sensitivity rates for imipenem, ciprofloxacin, and aminoglycosides improved with the implementation of this protocol.

Article Abstract

In this study, the effects of alternate use of imipenem and cefoperazone/sulbactam(CFP/Sul) on antibiotic resistance in the intensive care unit (ICU) were investigated. Between 1 April 1993 and 1 April 1994, the infectious diseases consultant saw patients when required and there was no alternative therapy for antibiotics. For the following 2 years, the same consultant followed up each patient from admission to discharge by daily visits to the ICU and an alternative therapy protocol was initiated. The most common microorganisms were found to be Acinetobacter baumannii and Staphylococcus aureus, followed by Pseudomonas aeruginosa and Klebsiella pneumoniae, respectively, in the two periods. This study demonstrated that sensitivity rates of imipenem, ciprofloxacin and aminoglycosides were improved as a result of this protocol.

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http://dx.doi.org/10.1007/s001340050998DOI Listing

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