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Antimicrobial stewardship: From bedside to theory. thirteen examples of old and more recent strategies from everyday clinical practice

Di Bella S.
•
Beovic B.
•
Fabbiani M.
altro
Luzzati R.
2020
  • journal article

Periodico
ANTIBIOTICS
Abstract
“Antimicrobial stewardship” is a strategy that promotes the responsible use of antimicrobials. The objective of this paper is to focus on consolidated and more recent improvements in clinical strategies that should be adopted in hospitalized patients to ameliorate their infectious diseases’ outcome and to reduce the antibiotic resistance risk through judicious use of antibiotics. We present 13 common clinical scenarios, the respective suggested interventions and the explanations of the supporting evidence, in order to help clinicians in their decision-making process. Strategies including the choice of antibiotic and dose optimization, antibiotic spectrum narrowing (de-escalation), shortening of duration, shift to oral route or outpatient parenteral antibiotic (including elastomeric pumps), and biomarkers are described and discussed.
DOI
10.3390/antibiotics9070398
WOS
WOS:000558172800001
SCOPUS
2-s2.0-85087828081
Archivio
http://hdl.handle.net/11368/2969335
https://www.mdpi.com/2079-6382/9/7/398
Diritti
open access
FVG url
https://arts.units.it/bitstream/11368/2969335/1/DI BELLA ANTIBIOTICS 2020 Stewardship examples.pdf
Soggetti
  • Anti-bacterial agents...

  • Antibiotic optimizati...

  • Antibiotic policy

  • Antimicrobial steward...

  • Outpatients

Scopus© citazioni
3
Data di acquisizione
Jun 14, 2022
Vedi dettagli
Web of Science© citazioni
6
Data di acquisizione
Feb 27, 2024
Visualizzazioni
3
Data di acquisizione
Apr 19, 2024
Vedi dettagli
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