Broad-spectrum antimicrobials are commonly used without indication and contribute to antimicrobial resistance (AMR). We implemented a syndrome-based stewardship intervention in a community hospital that targeted common infectious syndromes and antipseudomonal beta-lactam (APBL) use. Our intervention successfully reduced AMR, rates, use of APBLs, and cost.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10945933 | PMC |
http://dx.doi.org/10.1017/ash.2024.28 | DOI Listing |
Antimicrob Steward Healthc Epidemiol
September 2024
University of Illinois at Chicago, Chicago, IL, USA.
Coronavirus disease 2019 can be indistinguishable from lower respiratory tract infections (LRTIs) caused by other viral and bacterial agents. This likely contributed to antimicrobial use (AU) and antimicrobial resistance (AMR) during the pandemic. Our antimicrobial stewardship program targeted the selection and duration of therapy for LRTIs and led to a reduction in AU and AMR.
View Article and Find Full Text PDFMicrobiol Spectr
June 2024
Department of Laboratory Medicine, JPNATC, AIIMS, New Delhi, India.
The availability of syndrome-based panels for various ailments has widened the scope of diagnostics in many clinical settings. These panels can detect a multitude of pathogens responsible for a particular condition, which can lead to a timely diagnosis and better treatment outcomes. In contrast to traditional identification methods based on pathogen growth on culture, syndrome-based panels offer a quicker diagnosis, which can be especially beneficial in situations requiring urgent care, such as intensive care units.
View Article and Find Full Text PDFAntimicrob Steward Healthc Epidemiol
March 2024
Division of Infectious Diseases, Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA.
Am J Infect Control
December 2020
Sagewood Acacia Health Center, Phoenix, AZ.
In 2015, an Arizona skilled nursing facility implemented an antibiotic stewardship protocol targeting unnecessary prescribing for suspect urinary tract infection. The protocol emphasized auditing of culturing and prescribing practices, feedback to prescribers, engagement of clinical staff, and educational in-services. Between Quarter 4 of 2014 (baseline) and Quarter 1 of 2017, urine culturing, days of antibiotic therapy for suspect urinary tract infection, and Clostridiodes difficile infections per 1,000 resident-days decreased by >50% with no urosepsis events.
View Article and Find Full Text PDFClin Microbiol Newsl
August 2017
Department of Pathology and Laboratory Medicine, Lewis Katz School of Medicine at Temple University, Temple University Health System, Philadelphia, Pennsylvania.
In the clinical microbiology laboratory, the focus when choosing new tests is often on performance, turnaround time, and labor needs. This review examines available rapid, multiplexed tests from a different perspective: that of the patient. It considers whether published evidence supports the notion that use of rapid, on-demand tests (as opposed to batched testing) leads to better patient outcomes and whether broad, syndrome-based, multiplexed panels translate into better patient care than narrower monoplex or duplex assays.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!