Abstract：
PURPOSE OF REVIEW:The purpose of this article is to perform a systematic review over the past 5 years on the role and effectiveness of clinical decision support systems (CDSSs) on antibiotic stewardship. RECENT FINDINGS:CDDS interventions found a significant impact on multiple outcomes relevant to antibiotic stewardship. There are various types of CDSS implementations, both active and passive (provider initiated). Passive interventions were associated with more significant outcomes; however, both interventions appeared effective. In the reviewed literature, CDSSs were consistently associated with decreasing antibiotic consumption and narrowing the spectrum of antibiotic usage. Generally, guideline adherence was improved with CDSS, although this was not universal. The effect on other outcomes, such as mortality, Clostridiodes difficile infections, length of stay, and cost, inconsistently showed a significant difference. Overall, CDDS implementation has effectively decreased antibiotic consumption and improved guideline adherence across the various types of CDSS. Other positive outcomes were noted in certain settings, but were not universal. When creating a new intervention, it is important to identify the optimal structure and deployment of a CDSS for a specific setting.
journal_name
Curr Infect Dis Repjournal_title
Current infectious disease reportsauthors
Rittmann B,Stevens MPdoi
10.1007/s11908-019-0683-8subject
Has Abstractpub_date
2019-07-24 00:00:00pages
29issue
8eissn
1523-3847issn
1534-3146pii
10.1007/s11908-019-0683-8journal_volume
21pub_type
杂志文章abstract：PURPOSE OF REVIEW:The increase in drug-resistant community-acquired pneumonia (CAP) is an important problem all over the world. This article explores the current state of antimicrobial resistance of different bacteria that cause CAP and also assesses risk factors to identify those pathogens. RECENT FINDINGS:In the las...
journal_title：Current infectious disease reports
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journal_title：Current infectious disease reports
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journal_title：Current infectious disease reports
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journal_title：Current infectious disease reports
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journal_title：Current infectious disease reports
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journal_title：Current infectious disease reports
pub_type： 杂志文章,评审
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journal_title：Current infectious disease reports
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doi：10.1007/s11908-008-0045-4
更新日期：2008-07-01 00:00:00
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journal_title：Current infectious disease reports
pub_type： 杂志文章
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更新日期：2000-06-01 00:00:00
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journal_title：Current infectious disease reports
pub_type： 杂志文章
doi：10.1007/s11908-005-0033-x
更新日期：2005-05-01 00:00:00
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journal_title：Current infectious disease reports
pub_type： 杂志文章
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更新日期：2011-06-01 00:00:00
abstract：:The outcome for HIV-infected patients with cancer has dramatically improved in the highly active antiretroviral therapy (HAART) era, probably due to improvements in immune status and bone marrow function that allow the possibility of increased drug-dose intensity with a higher complete remission rate. Although data re...
journal_title：Current infectious disease reports
pub_type： 杂志文章
doi：10.1007/s11908-008-0026-7
更新日期：2008-05-01 00:00:00
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pub_type： 杂志文章
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更新日期：1999-10-01 00:00:00
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abstract：:Coronary heart disease (CHD) is an inflammatory process that takes decades to develop. In HIV-seronegative persons, high-sensitivity C-reactive protein is a biologic marker of CHD risk. HIV infection induces chronic inflammation, despite adequate suppression of HIV replication with antiretroviral therapy, resulting in...
journal_title：Current infectious disease reports
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abstract：:Carbapenems are the broadest spectrum antimicrobials utilized in the treatment of serious infections since the 1980s. Soon after their introduction, the discovery of carbapenem-resistant Enterobacteriaceae (CRE) was reported in the 1990s. Invasive CRE infections are associated with high mortality and limited treatment...
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