医学
抗菌管理
感染控制
梭菌纲
重症监护医学
管理(神学)
抗生素耐药性
公共卫生
环境卫生
抗生素
医疗保健
抗生素管理
护理部
微生物学
内科学
经济
政治学
法学
政治
生物
经济增长
作者
Shiwei Zhou,Jerod Nagel,Keith S. Kaye,Kerry L. LaPlante,Owen Albin,Jason M. Pogue
标识
DOI:10.1016/j.idc.2021.04.011
摘要
Antibiotic overuse and misuse has contributed to rising rates of multidrug-resistant organisms and Clostridioides difficile . Decreasing antibiotic misuse has become a national public health priority. This review outlines the goals of antimicrobial stewardship, essential members of the program, implementation strategies, approaches to measuring the program's impact, and steps needed to build a program. Highlighted is the alliance between antimicrobial stewardship programs and infection prevention programs in their efforts to improve antibiotic use, improve diagnostic stewardship for C difficile and asymptomatic bacteriuria, and decrease health care–associated infections and the spread of multidrug-resistant organisms.
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