Antimicrobial Stewardship and Intensive Care Unit Mortality: A Systematic Review
Author(s) -
Patrick Lindsay,
Sagar Rohailla,
Linda R. Taggart,
David Lightfoot,
Thomas Havey,
Nick Daneman,
Christopher F. Lowe,
Matthew Muller
Publication year - 2018
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciy550
Subject(s) - medicine , antimicrobial stewardship , intensive care unit , intensive care medicine , confidence interval , relative risk , meta analysis , population , discontinuation , emergency medicine , medline , antibiotics , antibiotic resistance , environmental health , political science , law , microbiology and biotechnology , biology
Antimicrobial stewardship programs (ASPs) using audit and feedback in the intensive care unit (ICU) setting can reduce harms related to inappropriate antibiotic use. However, inappropriate discontinuation or narrowing of antibiotic treatment could increase infection-related mortality in this population. Individual ASP studies are underpowered to detect differences in mortality.
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