Challenges and Opportunities in Antimicrobial Stewardship among Hematopoietic Stem Cell Transplant and Oncology Patients
Antimicrobial stewardship programs play a critical role in optimizing the use of antimicrobials against pathogens in the era of growing multi-drug resistance. However, implementation of antimicrobial stewardship programs among the hematopoietic stem cell transplant and oncology populations has posed...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2023-03-01
|
Series: | Antibiotics |
Subjects: | |
Online Access: | https://www.mdpi.com/2079-6382/12/3/592 |
_version_ | 1797613831551188992 |
---|---|
author | Anjali Majumdar Mansi R. Shah Jiyeon J. Park Navaneeth Narayanan Keith S. Kaye Pinki J. Bhatt |
author_facet | Anjali Majumdar Mansi R. Shah Jiyeon J. Park Navaneeth Narayanan Keith S. Kaye Pinki J. Bhatt |
author_sort | Anjali Majumdar |
collection | DOAJ |
description | Antimicrobial stewardship programs play a critical role in optimizing the use of antimicrobials against pathogens in the era of growing multi-drug resistance. However, implementation of antimicrobial stewardship programs among the hematopoietic stem cell transplant and oncology populations has posed challenges due to multiple risk factors in the host populations and the infections that affect them. The consideration of underlying immunosuppression and a higher risk for poor outcomes have shaped therapeutic decisions for these patients. In this multidisciplinary perspective piece, we provide a summary of the current landscape of antimicrobial stewardship, unique challenges, and opportunities for unmet needs in these patient populations. |
first_indexed | 2024-03-11T07:00:15Z |
format | Article |
id | doaj.art-1c2cbaa9dcc64068821cedfa8a66d9c5 |
institution | Directory Open Access Journal |
issn | 2079-6382 |
language | English |
last_indexed | 2024-03-11T07:00:15Z |
publishDate | 2023-03-01 |
publisher | MDPI AG |
record_format | Article |
series | Antibiotics |
spelling | doaj.art-1c2cbaa9dcc64068821cedfa8a66d9c52023-11-17T09:15:14ZengMDPI AGAntibiotics2079-63822023-03-0112359210.3390/antibiotics12030592Challenges and Opportunities in Antimicrobial Stewardship among Hematopoietic Stem Cell Transplant and Oncology PatientsAnjali Majumdar0Mansi R. Shah1Jiyeon J. Park2Navaneeth Narayanan3Keith S. Kaye4Pinki J. Bhatt5Division of Allergy and Infectious Disease, Department of Medicine, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USADivision of Blood Disorders, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08901, USAEnglewood Health, Englewood, NJ 07631, USADivision of Allergy and Infectious Disease, Department of Medicine, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USADivision of Allergy and Infectious Disease, Department of Medicine, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USADivision of Allergy and Infectious Disease, Department of Medicine, Rutgers-Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USAAntimicrobial stewardship programs play a critical role in optimizing the use of antimicrobials against pathogens in the era of growing multi-drug resistance. However, implementation of antimicrobial stewardship programs among the hematopoietic stem cell transplant and oncology populations has posed challenges due to multiple risk factors in the host populations and the infections that affect them. The consideration of underlying immunosuppression and a higher risk for poor outcomes have shaped therapeutic decisions for these patients. In this multidisciplinary perspective piece, we provide a summary of the current landscape of antimicrobial stewardship, unique challenges, and opportunities for unmet needs in these patient populations.https://www.mdpi.com/2079-6382/12/3/592antimicrobial stewardshipantibacterial prophylaxishematopoietic stem cell transplanthematologic malignancy |
spellingShingle | Anjali Majumdar Mansi R. Shah Jiyeon J. Park Navaneeth Narayanan Keith S. Kaye Pinki J. Bhatt Challenges and Opportunities in Antimicrobial Stewardship among Hematopoietic Stem Cell Transplant and Oncology Patients Antibiotics antimicrobial stewardship antibacterial prophylaxis hematopoietic stem cell transplant hematologic malignancy |
title | Challenges and Opportunities in Antimicrobial Stewardship among Hematopoietic Stem Cell Transplant and Oncology Patients |
title_full | Challenges and Opportunities in Antimicrobial Stewardship among Hematopoietic Stem Cell Transplant and Oncology Patients |
title_fullStr | Challenges and Opportunities in Antimicrobial Stewardship among Hematopoietic Stem Cell Transplant and Oncology Patients |
title_full_unstemmed | Challenges and Opportunities in Antimicrobial Stewardship among Hematopoietic Stem Cell Transplant and Oncology Patients |
title_short | Challenges and Opportunities in Antimicrobial Stewardship among Hematopoietic Stem Cell Transplant and Oncology Patients |
title_sort | challenges and opportunities in antimicrobial stewardship among hematopoietic stem cell transplant and oncology patients |
topic | antimicrobial stewardship antibacterial prophylaxis hematopoietic stem cell transplant hematologic malignancy |
url | https://www.mdpi.com/2079-6382/12/3/592 |
work_keys_str_mv | AT anjalimajumdar challengesandopportunitiesinantimicrobialstewardshipamonghematopoieticstemcelltransplantandoncologypatients AT mansirshah challengesandopportunitiesinantimicrobialstewardshipamonghematopoieticstemcelltransplantandoncologypatients AT jiyeonjpark challengesandopportunitiesinantimicrobialstewardshipamonghematopoieticstemcelltransplantandoncologypatients AT navaneethnarayanan challengesandopportunitiesinantimicrobialstewardshipamonghematopoieticstemcelltransplantandoncologypatients AT keithskaye challengesandopportunitiesinantimicrobialstewardshipamonghematopoieticstemcelltransplantandoncologypatients AT pinkijbhatt challengesandopportunitiesinantimicrobialstewardshipamonghematopoieticstemcelltransplantandoncologypatients |