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Antimicrobial stewardship opportunities among inpatients with diabetic foot infections: microbiology results from a tertiary hospital multidisciplinary unit
Author(s) -
Hand Robert,
Manning Laurens,
Ritter Jens C.,
Norman Paul,
Lamb Lydia,
Makepeace Ashley,
Sankhesara Dipen,
Hamilton Emma,
Ingram Paul
Publication year - 2019
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.14251
Subject(s) - medicine , antimicrobial stewardship , multidisciplinary approach , antimicrobial , intensive care medicine , microbiology and biotechnology , antibiotics , antibiotic resistance , social science , sociology , biology
Among 125 inpatients with diabetic foot infections managed by a multidisciplinary foot ulcer unit, knowledge of methicillin‐resistant Staphylococcus aureus colonisation status assisted decision‐making to prescribe appropriately or with‐hold empiric anti‐methicillin‐resistant Staphylococcus aureus therapy. Despite adherence to national guidelines, apparent overuse of anti‐pseudomonal therapy was frequent, providing potential antimicrobial stewardship opportunities.