Search Tag: antimicrobial stewardship
Antibiotic Resistance
2022 16 Nov
Moderator Jean-Louis Vincent Editor-in-Chief @ ICU Management & Practice Professor Department of Intensive Care Erasme Hospital Université libre de Bruxelles Brussels, Belgium Panellists Jan De Waele Full Professor Ghent University Jordi Rello Full Professor Universitat Internacional de Catalunya... Read more
Improving Antimicrobial Stewardship Programmes
2022 29 Aug
Researchers at Intermountain Healthcare have conducted a survey to identify and stratify antimicrobial stewardship programmes into four different groups to study the effectiveness of these models to best enhance patient care and reduce the rise of antibiotic resistance. The results are published in Clinical Infectious Diseases . Antimicrobial... Read more
Sepsis in Critical Care: Effective Antimicrobial Strategies in ICU
2022 16 Mar
ICU sepsis is associated with a mortality rate >25%, with nosocomial infection most lethal, and community acquired infection more common. Optimal management requires identification of the site of infection (lung, abdomen and blood stream most commonly), a focus on the likely pathogens based on risk factors for resistance, and provision of timely and... Read more
Antibiotic decisions in the ICU: a dragon’s tale
2018 19 Jun
Medical decision-making about antibiotic use in critically ill patients is challenging and complex. The need for antibiotic stewardship requires judicious prescription and choice of antimicrobials, as the need for effective therapy has to be put in balance with the need to limit undue selection pressure, and all this must be done in a context of... Read more
Antimicrobial Use for IAI: New Guidance
2016 11 Oct
Guidance on empiric antimicrobial therapy for patents with intra-abdominal infections (IAI) has been drawn up by a task force from 79 countries, the Antimicrobials: A Global Alliance for Optimizing their Rational Use in Intra-Abdominal Infections- AGORA project. The experts recommend timely effective source control with appropriate antimicrobial therapy... Read more
Implementing Antimicrobial-Stewardship Programme in ICUs
2016 30 Aug
Antimicrobial resistance is a major healthcare challenge, especially in the intensive care unit (ICU) as ICU patients are more susceptible to healthcare-associated infections (HAIs). It is also a severe problem in ICus because patients are critically ill and immuncomprised and have undergone major surgical procedures. Most ICUs do not have effective... Read more
Combating Infections in the ICU: Dual Approach
2016 28 Mar
A combination of strict antimicrobial stewardship and comprehensive infection control measures led to a 10-fold reduction in multi-drug resistant (MDR) A. Baumannii that had become endemic in a Korean intensive care unit (ICU). The initative is described in a recent paper in the Korean Journal of Internal Medicine . Shinhye Cheon, Division... Read more
Optimising Antibiotics and Antimicrobial Stewardship in the ICU
2016 05 Jan
Antibiotic dosing regimens for critically ill patients require constant vigilance, due to extreme shifts on organ function that can impact on drug exposure. In a recent article in Medicina Intensiva Australian researchers Menino Cotta, Jason Roberts and Jeffrey Lipman recommend therapeutic drug monitoring and individualising and tailoring dose for... Read more