ASP Strategies and Appropriate Antibiotic Use

ASP Strategies and Appropriate Antibiotic Use

Strategies for appropriate antibiotic use in intensive care unit

The comsumption of antibiotics is high, mainly in intensive care units. Unfortunately, most are inappropriately used leading to increased multi-resistant bacteria. It is well known that initial empirical therapy with broad-spectrum antibiotics reduce mortality rates. However the prolonged and irrational use of antimicrobials may also increase the risk of toxicity, drug interactions and diarrhea...

Rapid diagnostics and appropriate antibiotic use.

Most antibiotics are prescribed by physicians lacking postgraduate training in infectious diseases. As such, prescribing physicians have varying levels of interest and sophistication in thinking about how to use molecular and microbiological data to inform therapeutic choices. Strategies designed to modify physician antimicrobial-prescribing practices must therefore choose simplicity over compl...

Principles of appropriate antibiotic use for acute pharyngitis in adults.

The following principles of appropriate antibiotic use for adults with acute pharyngitis apply to immunocompetent adults without complicated comorbid conditions, such as chronic lung or heart disease, and history of rheumatic fever. They do not apply during known outbreaks of group A streptococcus. 1. Group A beta-hemolytic streptococcus (GABHS) is the causal agent in approximately 10% of adult...

Principles of appropriate antibiotic use for acute sinusitis in adults.

In this guideline, we will present the supporting evidence for and make specific recommendations on how clinicians evaluating acute sinusitis can differentiate bacterial causes from viral causes and how they can determine when the use of antibiotics is beneficial. The numbers in square brackets are cross-references to the numbered sections in the accompanying background paper, “Principles of Ap...