The Interventions and Challenges of Antimicrobial Stewardship in the Emergency Department

Over the last decades, we have witnessed a constant increase in infections caused by multi-drug-resistant strains in emergency departments. Despite the demonstrated effectiveness of antimicrobial stewardship programs in antibiotic consumption and minimizing multi-drug-resistant bacterium development...

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Main Authors: Jesus Ruiz-Ramos, Laura Escolà-Vergé, Álvaro Eloy Monje-López, Sergio Herrera-Mateo, Alba Rivera
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/12/10/1522
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author Jesus Ruiz-Ramos
Laura Escolà-Vergé
Álvaro Eloy Monje-López
Sergio Herrera-Mateo
Alba Rivera
author_facet Jesus Ruiz-Ramos
Laura Escolà-Vergé
Álvaro Eloy Monje-López
Sergio Herrera-Mateo
Alba Rivera
author_sort Jesus Ruiz-Ramos
collection DOAJ
description Over the last decades, we have witnessed a constant increase in infections caused by multi-drug-resistant strains in emergency departments. Despite the demonstrated effectiveness of antimicrobial stewardship programs in antibiotic consumption and minimizing multi-drug-resistant bacterium development, the characteristics of emergency departments pose a challenge to their implementation. The inclusion of rapid diagnostic tests, tracking microbiological results upon discharge, conducting audits with feedback, and implementing multimodal educational interventions have proven to be effective tools for optimizing antibiotic use in these units. Nevertheless, future multicenter studies are essential to determine the best way to proceed and measure outcomes in this scenario.
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spelling doaj.art-27594873bed648d18c0bf3e713c9043a2023-11-19T15:26:41ZengMDPI AGAntibiotics2079-63822023-10-011210152210.3390/antibiotics12101522The Interventions and Challenges of Antimicrobial Stewardship in the Emergency DepartmentJesus Ruiz-Ramos0Laura Escolà-Vergé1Álvaro Eloy Monje-López2Sergio Herrera-Mateo3Alba Rivera4Pharmacy Department, Hospital Santa Creu i Sant Pau, 08025 Barcelona, SpainInfectious Diseases Department, Hospital Santa Creu i Sant Pau, 08025 Barcelona, SpainPharmacy Department, Hospital Santa Creu i Sant Pau, 08025 Barcelona, SpainSant Pau Institute of Biomedical Research (IIb Sant Pau), 08025 Barcelona, SpainSant Pau Institute of Biomedical Research (IIb Sant Pau), 08025 Barcelona, SpainOver the last decades, we have witnessed a constant increase in infections caused by multi-drug-resistant strains in emergency departments. Despite the demonstrated effectiveness of antimicrobial stewardship programs in antibiotic consumption and minimizing multi-drug-resistant bacterium development, the characteristics of emergency departments pose a challenge to their implementation. The inclusion of rapid diagnostic tests, tracking microbiological results upon discharge, conducting audits with feedback, and implementing multimodal educational interventions have proven to be effective tools for optimizing antibiotic use in these units. Nevertheless, future multicenter studies are essential to determine the best way to proceed and measure outcomes in this scenario.https://www.mdpi.com/2079-6382/12/10/1522antimicrobial stewardshipdrug resistanceemergency care
spellingShingle Jesus Ruiz-Ramos
Laura Escolà-Vergé
Álvaro Eloy Monje-López
Sergio Herrera-Mateo
Alba Rivera
The Interventions and Challenges of Antimicrobial Stewardship in the Emergency Department
Antibiotics
antimicrobial stewardship
drug resistance
emergency care
title The Interventions and Challenges of Antimicrobial Stewardship in the Emergency Department
title_full The Interventions and Challenges of Antimicrobial Stewardship in the Emergency Department
title_fullStr The Interventions and Challenges of Antimicrobial Stewardship in the Emergency Department
title_full_unstemmed The Interventions and Challenges of Antimicrobial Stewardship in the Emergency Department
title_short The Interventions and Challenges of Antimicrobial Stewardship in the Emergency Department
title_sort interventions and challenges of antimicrobial stewardship in the emergency department
topic antimicrobial stewardship
drug resistance
emergency care
url https://www.mdpi.com/2079-6382/12/10/1522
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