Antibiotic stewardship in the neonatal intensive care unit
| Autor: | Alison R. Bedford Russell, Aravanan Anbu Chakkarapani |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Neonatal intensive care unit business.industry medicine.drug_class media_common.quotation_subject Antibiotics Psychological intervention Breastfeeding Promotion (rank) Antibiotic resistance Pediatrics Perinatology and Child Health Medicine Infection control Antibiotic Stewardship business Intensive care medicine media_common |
| Zdroj: | Paediatrics and Child Health. 29:269-273 |
| ISSN: | 1751-7222 |
| DOI: | 10.1016/j.paed.2019.03.004 |
| Popis: | Antibiotic stewardship (ABS) refers to the coordinated interventions to appropriately prescribe and administer the most pathogen-specific, narrow-spectrum antibiotic regimens, in the correct doses, for the appropriate duration, and continually evaluate prescriber and administration compliance. The main historical driver for ABS has been antibiotic resistance, which is fuelled by antibiotic therapy. Additionally, short and long term consequences of antibiotic therapy on the developing immune system have emerged as further specific hazards of antibiotic exposure in neonates. The implementation of an ABS program, can be through ward-focused, multidisciplinary, antimicrobial teams, with promotion of evidence-based antimicrobial prescribing guidelines. Nursing and medical leadership should promote a united, pan-unit culture of it being “everybody's job” to embed an ABS program, alongside robust infection prevention practices and active promotion of breastfeeding. This review article will discuss the drivers for antibiotic stewardship and strategies for implementation of antibiotic stewardship within neonatal units. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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