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...

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Main Authors: Anjali Majumdar, Mansi R. Shah, Jiyeon J. Park, Navaneeth Narayanan, Keith S. Kaye, Pinki J. Bhatt
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/12/3/592
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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.
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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
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