Recommendations and guidelines for the treatment of infections due to multidrug resistant organisms

Antimicrobial drug resistance is one of the major threats to global health. It has made common infections increasingly difficult or impossible to treat, and leads to higher medical costs, prolonged hospital stays and increased mortality. Infection rates due to multidrug-resistant organisms (MDRO) ar...

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Main Authors: Cheng Len Sy, Pao-Yu Chen, Chun-Wen Cheng, Ling-Ju Huang, Ching-Hsun Wang, Tu-Hsuan Chang, Yi-Chin Chang, Chia-Jung Chang, Ing-Moi Hii, Yu-Lung Hsu, Ya-Li Hu, Pi-Lien Hung, Chen-Yen Kuo, Pei-Chin Lin, Po-Yen Liu, Ching-Lung Lo, Shih-Hao Lo, Pei-Ju Ting, Chien-Fang Tseng, Hsiao-Wei Wang, Ching-Hsiang Yang, Susan Shin-Jung Lee, Yao-Shen Chen, Yung-Ching Liu, Fu-Der Wang
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Journal of Microbiology, Immunology and Infection
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1684118222000251
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author Cheng Len Sy
Pao-Yu Chen
Chun-Wen Cheng
Ling-Ju Huang
Ching-Hsun Wang
Tu-Hsuan Chang
Yi-Chin Chang
Chia-Jung Chang
Ing-Moi Hii
Yu-Lung Hsu
Ya-Li Hu
Pi-Lien Hung
Chen-Yen Kuo
Pei-Chin Lin
Po-Yen Liu
Ching-Lung Lo
Shih-Hao Lo
Pei-Ju Ting
Chien-Fang Tseng
Hsiao-Wei Wang
Ching-Hsiang Yang
Susan Shin-Jung Lee
Yao-Shen Chen
Yung-Ching Liu
Fu-Der Wang
author_facet Cheng Len Sy
Pao-Yu Chen
Chun-Wen Cheng
Ling-Ju Huang
Ching-Hsun Wang
Tu-Hsuan Chang
Yi-Chin Chang
Chia-Jung Chang
Ing-Moi Hii
Yu-Lung Hsu
Ya-Li Hu
Pi-Lien Hung
Chen-Yen Kuo
Pei-Chin Lin
Po-Yen Liu
Ching-Lung Lo
Shih-Hao Lo
Pei-Ju Ting
Chien-Fang Tseng
Hsiao-Wei Wang
Ching-Hsiang Yang
Susan Shin-Jung Lee
Yao-Shen Chen
Yung-Ching Liu
Fu-Der Wang
author_sort Cheng Len Sy
collection DOAJ
description Antimicrobial drug resistance is one of the major threats to global health. It has made common infections increasingly difficult or impossible to treat, and leads to higher medical costs, prolonged hospital stays and increased mortality. Infection rates due to multidrug-resistant organisms (MDRO) are increasing globally. Active agents against MDRO are limited despite an increased in the availability of novel antibiotics in recent years. This guideline aims to assist clinicians in the management of infections due to MDRO. The 2019 Guidelines Recommendations for Evidence-based Antimicrobial agents use in Taiwan (GREAT) working group, comprising of infectious disease specialists from 14 medical centers in Taiwan, reviewed current evidences and drafted recommendations for the treatment of infections due to MDRO. A nationwide expert panel reviewed the recommendations during a consensus meeting in Aug 2020, and the guideline was endorsed by the Infectious Diseases Society of Taiwan (IDST). This guideline includes recommendations for selecting antimicrobial therapy for infections caused by carbapenem-resistant Acinetobacter baumannii, carbapenem-resistant Pseudomonas aeruginosa, carbapenem-resistant Enterobacterales, and vancomycin-resistant Enterococcus. The guideline takes into consideration the local epidemiology, and includes antimicrobial agents that may not yet be available in Taiwan. It is intended to serve as a clinical guide and not to supersede the clinical judgment of physicians in the management of individual patients.
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spelling doaj.art-d6b8767d5832434ea86b452caeac02dd2022-12-22T00:29:27ZengElsevierJournal of Microbiology, Immunology and Infection1684-11822022-06-01553359386Recommendations and guidelines for the treatment of infections due to multidrug resistant organismsCheng Len Sy0Pao-Yu Chen1Chun-Wen Cheng2Ling-Ju Huang3Ching-Hsun Wang4Tu-Hsuan Chang5Yi-Chin Chang6Chia-Jung Chang7Ing-Moi Hii8Yu-Lung Hsu9Ya-Li Hu10Pi-Lien Hung11Chen-Yen Kuo12Pei-Chin Lin13Po-Yen Liu14Ching-Lung Lo15Shih-Hao Lo16Pei-Ju Ting17Chien-Fang Tseng18Hsiao-Wei Wang19Ching-Hsiang Yang20Susan Shin-Jung Lee21Yao-Shen Chen22Yung-Ching Liu23Fu-Der Wang24Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanDivision of Infectious Diseases, Department of Internal Medicine, National Taiwan University Hospital, Taipei, TaiwanDivision of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan, TaiwanDivision of General Medicine, Infectious Diseases, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, Taiwan; School of Medicine, National Yang Ming Chiao Tung University, TaiwanDivision of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDepartment of Pediatrics, Chi-Mei Medical Center, Tainan, TaiwanDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, MacKay Children's Hospital and MacKay Memorial Hospital, Taipei, TaiwanDivision of Infectious Diseases, Department of Internal Medicine, Changhua Christian Hospital, Changhua, TaiwanDivision of Pediatric Infectious Diseases, China Medical University Children's Hospital, China Medical University, Taichung, TaiwanDepartment of Pediatrics, Cathay General Hospital, Taipei, TaiwanDepartment of Pharmacy, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanDepartment of Pediatrics, Chang Gung Children's Hospital, College of Medicine, Chang Gung University College of Medicine, Taoyuan, TaiwanDepartment of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Department of Pharmacy, School of Pharmacy, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Pediatrics, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanDepartment of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, TaiwanDepartment of Internal Medicine, Kaohsiung Municipal Siaogang Hospital, Kaohsiung, TaiwanDivision of Infectious Diseases, Department of Pediatrics, Taichung Veterans General Hospital, Taichung, TaiwanDepartment of Pediatrics, MacKay Children's Hospital and MacKay Memorial Hospital, Taipei, TaiwanDivision of Infectious Diseases, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, TaiwanDepartment of Pharmacy, Kaohsiung Veterans General Hospital, Kaohsiung, TaiwanDivision of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan; Corresponding author. Kaohsiung Veterans General Hospital, School of Medicine, National Yang Ming Chiao Tung University Division of Infectious Diseases, Department of Internal Medicine 365, Ta-chung 1st Rd, Kaohsiung 813 Taipei Taiwan.Fax: +886 7 346 8296Division of Infectious Diseases, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan; Faculty of Medicine, School of Medicine, National Yang Ming Chiao Tung University, Taipei, TaiwanDivision of Infectious Diseases, Taipei Medical University Shuang Ho Hospital, Taipei, TaiwanDivision of Infectious Diseases, Department of Internal Medicine, Taipei Veterans General Hospital, Taipei, TaiwanAntimicrobial drug resistance is one of the major threats to global health. It has made common infections increasingly difficult or impossible to treat, and leads to higher medical costs, prolonged hospital stays and increased mortality. Infection rates due to multidrug-resistant organisms (MDRO) are increasing globally. Active agents against MDRO are limited despite an increased in the availability of novel antibiotics in recent years. This guideline aims to assist clinicians in the management of infections due to MDRO. The 2019 Guidelines Recommendations for Evidence-based Antimicrobial agents use in Taiwan (GREAT) working group, comprising of infectious disease specialists from 14 medical centers in Taiwan, reviewed current evidences and drafted recommendations for the treatment of infections due to MDRO. A nationwide expert panel reviewed the recommendations during a consensus meeting in Aug 2020, and the guideline was endorsed by the Infectious Diseases Society of Taiwan (IDST). This guideline includes recommendations for selecting antimicrobial therapy for infections caused by carbapenem-resistant Acinetobacter baumannii, carbapenem-resistant Pseudomonas aeruginosa, carbapenem-resistant Enterobacterales, and vancomycin-resistant Enterococcus. The guideline takes into consideration the local epidemiology, and includes antimicrobial agents that may not yet be available in Taiwan. It is intended to serve as a clinical guide and not to supersede the clinical judgment of physicians in the management of individual patients.http://www.sciencedirect.com/science/article/pii/S1684118222000251CRECRABVREMDROCRPAGuideline
spellingShingle Cheng Len Sy
Pao-Yu Chen
Chun-Wen Cheng
Ling-Ju Huang
Ching-Hsun Wang
Tu-Hsuan Chang
Yi-Chin Chang
Chia-Jung Chang
Ing-Moi Hii
Yu-Lung Hsu
Ya-Li Hu
Pi-Lien Hung
Chen-Yen Kuo
Pei-Chin Lin
Po-Yen Liu
Ching-Lung Lo
Shih-Hao Lo
Pei-Ju Ting
Chien-Fang Tseng
Hsiao-Wei Wang
Ching-Hsiang Yang
Susan Shin-Jung Lee
Yao-Shen Chen
Yung-Ching Liu
Fu-Der Wang
Recommendations and guidelines for the treatment of infections due to multidrug resistant organisms
Journal of Microbiology, Immunology and Infection
CRE
CRAB
VRE
MDRO
CRPA
Guideline
title Recommendations and guidelines for the treatment of infections due to multidrug resistant organisms
title_full Recommendations and guidelines for the treatment of infections due to multidrug resistant organisms
title_fullStr Recommendations and guidelines for the treatment of infections due to multidrug resistant organisms
title_full_unstemmed Recommendations and guidelines for the treatment of infections due to multidrug resistant organisms
title_short Recommendations and guidelines for the treatment of infections due to multidrug resistant organisms
title_sort recommendations and guidelines for the treatment of infections due to multidrug resistant organisms
topic CRE
CRAB
VRE
MDRO
CRPA
Guideline
url http://www.sciencedirect.com/science/article/pii/S1684118222000251
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