Challenges and research priorities to progress the impact of antimicrobial stewardship

Drugs in Context

article

Matteo Bassetti¹  Daniele Roberto Giacobbe²  Antonio Vena¹  Adrian Brink⁴ 

[1] Infectious Diseases Clinic, Department of Medicine, University of Udine;Infectious Diseases Unit, Ospedale Policlinico San Martino – IRCCS per l’Oncologia, University of Genoa;Department of Health Sciences, DISSAL, University of Genoa;Division of Medical Microbiology, Faculty of Health Sciences, University of Cape Town

关键词: antimicrobial stewardship;    antimicrobial resistance;    AMR;    AMS;    antifungal stewardship;   

DOI  :  10.7573/dic.212600

学科分类：社会科学、人文和艺术（综合）

来源: C S F Medical Communications Ltd.

【 摘 要 】

Antimicrobial stewardship programmes have been playingan important role in patient care and hospital policies. Theseprogrammes are now recognised as formal strategies for curbingthe upward trend in antibiotic resistance and for improvingthe appropriate antimicrobial and antifungal use. The role ofsuch programs in the era of antimicrobial resistance presentsseveral unique challenges and opportunities, most notably inthe diagnostic and therapeutic setting. Controversies remainregarding the most effective interventions and the appropriatedesign to evaluate their impact. In this review, based on roundsof discussion, we explain the most important challengesfaced by antibiotic stewardship and antifungal stewardshipprogrammes. We also try to suggest areas for further research.

【 授权许可】

CC BY-NC-ND