Regarding Collaboration in Antimicrobial Stewardship

Ashley, Elizabeth Dodds; Spires, Steven S

doi:10.1016/j.idc.2019.12.001

Cited by 3 publications

(5 citation statements)

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“…Most of the published literature focuses on partnerships between ASPs and specific institutional service lines or large, more formalized networks such as centralized, health-system ASPs, consultative stewardship services, and hospitals with shared EMRs. 18 – 23 This provides a significant opportunity to further the literature on collaborative stewardship interventions in affiliated networks.…”

Section: Opportunities For Harmonizationmentioning

confidence: 99%

Collaboration on antimicrobial stewardship practices amongst university health systems, Veterans Affairs medical centers, and other affiliates: opportunities for greater harmony

Hitchcock,

Markley,

Tassone

et al. 2023

ASHE

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Section: Opportunities For Harmonizationmentioning

confidence: 99%

Collaboration on antimicrobial stewardship practices amongst university health systems, Veterans Affairs medical centers, and other affiliates: opportunities for greater harmony

Hitchcock,

Markley,

Tassone

et al. 2023

ASHE

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“…The best antibiotic may be no antibiotic at all if not needed. 17 , 18 A crucial step is diagnostic AMS, which is based on adequate sampling strategies that precede antibiotic prescription and requires the competence to correctly order and interpret the result of the test. 19 , 20 Non-pharmacological interventions such as the withdrawal of the central venous catheter must also be considered as additional actions ( Table 1 ).…”

Section: General Stewardship Principlesmentioning

confidence: 99%

Improving management and antimicrobial stewardship for bacterial and fungal infections in hospitalized patients with COVID-19

Peghin

Vena

Graziano

et al. 2022

Therapeutic Advances in Infection

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SARS-CoV-2 (severe acute respiratory syndrome coronavirus-2) infection is being one of the most significant challenges of health care systems worldwide. Bacterial and fungal infections in hospitalized patients with coronavirus disease 2019 (COVID-19) are uncommon but consumption of antibiotics and antifungals has increased dramatically during the ongoing pandemic resulting in increased selective pressure for global antimicrobial resistance. Nosocomial bacterial superinfections appear to be more frequent than community-acquired coinfections, particularly among patients admitted to the intensive care unit (ICU) and those receiving immunosuppressive treatment. Fungal infections associated with COVID-19 might be missed or misdiagnosed. Existing and new antimicrobial stewardship (AMS) programmes can be utilized directly in COVID-19 pandemic and are urgently needed to contain the high rates of misdiagnosis and antimicrobial prescription. The aim of this review is to describe the role of bacterial and fungal infections and possible strategies of AMS to use in daily practice for optimal management of COVID-19.

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“…A multidisciplinary approach with collaboration with microbiologists and pharmacists contributes to the development of updated local guidelines with antibiotic susceptibility reports and evaluation of new available molecules. 10 SOT recipients can benefit from traditional AMS activities directed to improve judicious perioperative prescribing and management, but evidence is lacking, although urgently advocated considering the great impact of MDRO in SOT population. 11,12 AMS programs in immunocompetent hosts have shown good results in lowering antimicrobials use, improving patients' outcome, appropriateness and duration of empiric and targeted therapy decreasing CDI rates, shortening length of hospital stay and, as final consequence, reducing health care costs.…”

Section: Nonpharmacological Interventions Include Strict Adherence Tomentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…After the prescription, duration and timing of administration should be clear, so as the need for redosing in long lasting surgeries. A multidisciplinary approach with collaboration with microbiologists and pharmacists contributes to the development of updated local guidelines with antibiotic susceptibility reports and evaluation of new available molecules 10 …”

Section: Introductionmentioning

confidence: 99%

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Perioperative antibiotic stewardship in the organ transplant setting

Graziano

Peghin

Grossi

2022

Transplant Infectious Dis

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Background Solid organ transplant (SOT) recipients can benefit from traditional antimicrobial stewardship (AMS) activities directed to improve judicious perioperative prescribing and management, but evidence is lacking. The aim of this expert opinion review is to provide an update on the current landscape of application of AMS practices for optimization of perioperative prophylaxis (PP). Methods We reviewed the available literature on early postoperative infectious complications in SOT and PP management, on modified perioperative approaches in case of infection or colonization in recipients and donors and on AMS in transplantation PP. Results SOT recipients are at high risk for early postoperative infectious complications due to the complexity of surgical procedures, severity of end stage organ disease, net state of immunosuppression in the posttransplant period and to the high risk for multidrug resistant organism. Moreover, SOT may be exposed to preservation fluid infections and expected or unexpected donor‐derived infections. We summarize main factors to take into account when prescribing transplant PP. Conclusion Creating personalized PP to avoid unwanted consequences of antimicrobials while improving outcomes is an emerging and critical aspect in SOT setting. Further studies are needed to offer best PP tailored to SOT type and to evaluate interventions efficacy and safety.

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Regarding Collaboration in Antimicrobial Stewardship

Cited by 3 publications

References 0 publications

Collaboration on antimicrobial stewardship practices amongst university health systems, Veterans Affairs medical centers, and other affiliates: opportunities for greater harmony

Collaboration on antimicrobial stewardship practices amongst university health systems, Veterans Affairs medical centers, and other affiliates: opportunities for greater harmony

Improving management and antimicrobial stewardship for bacterial and fungal infections in hospitalized patients with COVID-19

Perioperative antibiotic stewardship in the organ transplant setting

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