The Role of Stewardship in Addressing Antibacterial Resistance: Stewardship and Infection Control Committee of the Antibacterial Resistance Leadership Group

被引：28

作者：

Anderson, Deverick J. ^{[1
,11
]}

Jenkins, Timothy C. ^{[2
]}

Evans, Scott R. ^{[3
]}

Harris, Anthony D. ^{[4
]}

Weinstein, Robert A. ^{[5
]}

Tamma, Pranita D. ^{[6
]}

Han, Jennifer H. ^{[7
]}

Banerjee, Ritu

Patel, Robin ^{[8
,9
]}

Zaoutis, Theoklis ^{[10
]}

Lautenbach, Ebbing ^{[7
]}

机构：

[1] Duke Univ Med Ctr, Duke Ctr Antimicrobial Stewardship & Infect Preve, Durham, NC USA

[2] Div Infect Dis, Denver, CO USA

[3] Harvard Univ, Ctr Biostatist AIDS Res & Dept Biostatist, Boston, MA USA

[4] Univ Maryland Sch Med, Baltimore, MD USA

[5] Rush Univ Med Ctr, Chicago, IL USA

[6] Johns Hopkins Univ Sch Med, Baltimore, MD USA

[7] Univ Pennsylvania Sch Med, Div Infect Dis, Dept Med, Philadelphia, PA USA

[8] Div Clin Microbiol, Dept Lab Med & Pathol, Rochester, MN USA

[9] Dept Med, Mayo Clin, Div Infect Dis, Rochester, MN USA

[10] Childrens Hosp Philadelphia, Div Infect Dis, Philadelphia, PA USA

[11] Duke Ctr Antimicrobial Stewardship & Infect Preve, Hanes House Rm 165, Trento, NC, Italy

来源：

CLINICAL INFECTIOUS DISEASES | 2017年 / 64卷

关键词：

antibacterial resistance; stewardship; infection control; GUIDELINES;

D O I：

10.1093/cid/ciw830

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Antibacterial resistance is increasing globally and has been recognized as a major public health threat. Antibacterial stewardship is the coordinated effort to improve the appropriate use of antibiotics with the aim to decrease selective pressure for multidrug-resistant organisms in order to preserve the utility of antibacterial agents. This article describes the activities of the Antibacterial Resistance Leadership Group (ARLG) in the area of antibacterial stewardship. To date, the ARLG has focused intensely on development of rapid diagnostic tests, which (when coupled with educational and institutional initiatives) will enable the robust stewardship that is needed to address the current crisis of antibacterial resistance. In addition to exploring the effectiveness of stewardship techniques in community hospitals, the ARLG has also developed strategy trials to assess the feasibility of reducing antibacterial usage while preserving patient outcome.

引用

页码：S36 / S40

页数：5

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