Strategies to reduce curative antibiotic therapy in intensive care units (adult and paediatric).

Details

Serval ID
serval:BIB_995893567B02
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Strategies to reduce curative antibiotic therapy in intensive care units (adult and paediatric).
Journal
Intensive care medicine
Author(s)
Bretonnière C., Leone M., Milési C., Allaouchiche B., Armand-Lefevre L., Baldesi O., Bouadma L., Decré D., Figueiredo S., Gauzit R., Guery B., Joram N., Jung B., Lasocki S., Lepape A., Lesage F., Pajot O., Philippart F., Souweine B., Tattevin P., Timsit J.F., Vialet R., Zahar J.R., Misset B., Bedos J.P.
Working group(s)
Société de Réanimation de Langue Française (SRLF), Société Française d'Anesthésie et de Réanimation (SFAR)
ISSN
1432-1238 (Electronic)
ISSN-L
0342-4642
Publication state
Published
Issued date
07/2015
Peer-reviewed
Oui
Volume
41
Number
7
Pages
1181-1196
Language
english
Notes
Publication types: Journal Article ; Practice Guideline
Publication Status: ppublish
Abstract
Emerging resistance to antibiotics shows no signs of decline. At the same time, few new antibacterials are being discovered. There is a worldwide recognition regarding the danger of this situation. The urgency of the situation and the conviction that practices should change led the Société de Réanimation de Langue Française (SRLF) and the Société Française d'Anesthésie et de Réanimation (SFAR) to set up a panel of experts from various disciplines. These experts met for the first time at the end of 2012 and have since met regularly to issue the following 67 recommendations, according to the rigorous GRADE methodology. Five fields were explored: i) the link between the resistance of bacteria and the use of antibiotics in intensive care; ii) which microbiological data and how to use them to reduce antibiotic consumption; iii) how should antibiotic therapy be chosen to limit consumption of antibiotics; iv) how can antibiotic administration be optimized; v) review and duration of antibiotic treatments. In each institution, the appropriation of these recommendations should arouse multidisciplinary discussions resulting in better knowledge of local epidemiology, rate of antibiotic use, and finally protocols for improving the stewardship of antibiotics. These efforts should contribute to limit the emergence of resistant bacteria.
Keywords
Anti-Bacterial Agents/therapeutic use, Bacterial Infections/diagnosis, Bacterial Infections/drug therapy, Critical Care, Cross Infection/drug therapy, Drug Monitoring, Drug Resistance, Microbial, Humans, Intensive Care Units, Intensive Care Units, Pediatric, Unnecessary Procedures
Pubmed
Web of science
Open Access
Yes
Create date
29/04/2021 9:59
Last modification date
17/07/2023 14:45
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