Antimicrobial stewardship in the intensive care unit: advances and obstacles.

Abstract:

:Antimicrobial stewardship involves a multifaceted approach that strives to combat the emergence of resistance, improve clinical outcomes, and control costs by improving antimicrobial use. Therefore, stewardship is of great importance and relevance in the intensive care unit. Clinical decision support systems, biomarker-derived treatment algorithms, and improved knowledge regarding the different components of antimicrobial therapy represent some of the advances that have been made in stewardship. Yet, significant obstacles have prevented the full achievement of stewardship's goals, and approaches to confronting these obstacles should be appreciated. Clinicians should realize that antimicrobials are important therapeutic agents and strive to use them wisely.

authors

Lawrence KL,Kollef MH

doi

10.1164/rccm.200809-1394CP

subject

Has Abstract

pub_date

2009-03-15 00:00:00

pages

434-8

issue

6

eissn

1073-449X

issn

1535-4970

pii

200809-1394CP

journal_volume

179

pub_type

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