ANTIMICROBIAL STEWARDSHIP PROGRAM
Ahmed Afify Abd El-Hakeem;
Abstract
We are currently at crossroads where antimicrobial stewardship offers us an opportunity to move forward in terms of enhancing the treatment of antibiotic-resistant infections for years to come.
Although antimicrobial therapy is frequently prescribed, clinicians should realize that these important therapeutic agents should be used wisely. Judicious use of antibiotics serves to combat the emergence of resistance, improve clinical outcomes, and decrease costs.
Clinicians should realize the advances that have been made with regard to antimicrobial stewardship and utilize these tools, as well as future advances, to promote improved antimicrobial use.
ICU clinicians must be leaders in ensuring that their institutions have robust and effective ASPs and all intensive care units should participate in active antimicrobial stewardship programs (ASPs) directed at optimizing the use of antimicrobials in critically ill patients.
The ASPs should focus on both optimizing the delivery of antimicrobial agents to infected patients and avoiding the unnecessary use of these agents.
Optimal antibiotic administration can be achieved by ensuring appropriate selection of drugs, timely administration of antibiotics, adequate dosing of these agents, avoidance of prolonged durations of therapy, and adjustments in delivery of drugs based on the physiology of critically ill patient.
Minimizing the unnecessary use of antibiotics can be achieved with the use of deescalation strategies, use of antibiotic resistance prediction tools or biomarkers, and in the future, rapid diagnostics for pathogen detection and antimicrobial susceptibility.
Although antimicrobial therapy is frequently prescribed, clinicians should realize that these important therapeutic agents should be used wisely. Judicious use of antibiotics serves to combat the emergence of resistance, improve clinical outcomes, and decrease costs.
Clinicians should realize the advances that have been made with regard to antimicrobial stewardship and utilize these tools, as well as future advances, to promote improved antimicrobial use.
ICU clinicians must be leaders in ensuring that their institutions have robust and effective ASPs and all intensive care units should participate in active antimicrobial stewardship programs (ASPs) directed at optimizing the use of antimicrobials in critically ill patients.
The ASPs should focus on both optimizing the delivery of antimicrobial agents to infected patients and avoiding the unnecessary use of these agents.
Optimal antibiotic administration can be achieved by ensuring appropriate selection of drugs, timely administration of antibiotics, adequate dosing of these agents, avoidance of prolonged durations of therapy, and adjustments in delivery of drugs based on the physiology of critically ill patient.
Minimizing the unnecessary use of antibiotics can be achieved with the use of deescalation strategies, use of antibiotic resistance prediction tools or biomarkers, and in the future, rapid diagnostics for pathogen detection and antimicrobial susceptibility.
Other data
| Title | ANTIMICROBIAL STEWARDSHIP PROGRAM | Other Titles | برنامج إدارة مضادات الميكروبات | Authors | Ahmed Afify Abd El-Hakeem | Issue Date | 2017 |
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