Open AccessThe protocol of empirical antimicrobial therapy of the inpatient hospital of the National Medical and Surgical Center n. a. N. I. Pirogov (fourth edition, 2018)
Author(s) -
О Э Карпов,
М. Н. Замятин,
В.Г. Гусаров,
О. А. Орлова,
V.S. Fomina,
D.A. Kamyshova,
Е. Е. Каменова,
М. В. Дементиенко,
Л. В. Петрова,
Н. Н. Лашенкова,
Д. А. Колозян
Publication year - 2019
Publication title -
medicinskij alfavit
Language(s) - English
Resource type - Journals
eISSN - 2949-2807
pISSN - 2078-5631
DOI - 10.33667/2078-5631-2019-1-16(391)-58-71
Subject(s) - medicine , antimicrobial , antimicrobial stewardship , protocol (science) , antibiotics , urinary system , antibiotic resistance , intensive care medicine , pathology , alternative medicine , microbiology and biotechnology , biology
The protocol of empirical antimicrobial therapy (AMT) in the National Medical & Surgical Center n. a. N. I. Pirogov is a part of antimicrobial stewardship program, implemented in 2013. The protocol is based on local antimicrobial resistance data, takes into account features of the hospital and contains the decision-making process for risk stratification of antibiotic-resistant microorganisms, for start, choice, removal of AMT and its results assessment, as well as differentiated algorithms of empirical antibiotic therapy for respiratory tract infections, skin and soft tissues infections, urinary tract infections, bloodstream infections, intra-abdominal infections, periprosthetic joint infection, central nervous system infection, infections in neutropenic patients, treatment regimens for antibiotic-associated colitis. The protocol is updated annually, the fourth edition of the protocol is presented.