Strategies for Antimicrobial Stewardship in Solid Organ Transplant Recipients

被引:9
作者
Hand, Jonathan [1 ]
机构
[1] Univ Queensland, Sch Med, Ochsner Clin Sch, Ochsner Med Ctr,Dept Infect Dis, 1514 Jefferson Highway, New Orleans, LA 70121 USA
关键词
Antimicrobial stewardship; Solid organ transplant; Immunocompromised hosts; Rapid diagnostics; INFECTIOUS-DISEASES SOCIETY; CELL-MEDIATED-IMMUNITY; BLOOD-STREAM INFECTIONS; ASYMPTOMATIC BACTERIURIA; CYTOMEGALOVIRUS DISEASE; PENICILLIN ALLERGY; 2016; UPDATE; IMPACT; OUTCOMES; PROGRAM;
D O I
10.1016/j.idc.2018.04.003
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Complications of antimicrobial therapy, such as multidrug-resistant organisms and Clostridium difficile, commonly affect solid-organ transplant recipients and have been associated with graft loss and mortality. Although opportunities are abundant, antimicrobial stewardship practices guiding appropriate therapy have been infrequently reported in transplant patients. A patient-centered, multidisciplinary structure, using established antimicrobial optimization principles, is needed to create nuanced approaches to protect patients and antimicrobials and improve outcomes.
引用
收藏
页码:535 / +
页数:17
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