Erschienen in:
01.10.2018 | Healthcare Associated Infections (G Bearman and D Morgan, Section Editors)
Pediatric Antimicrobial Stewardship: State of the Art
verfasst von:
Emily J. Godbout, Amy L. Pakyz, John Daniel Markley, Andrew J. Noda, Michael P. Stevens
Erschienen in:
Current Infectious Disease Reports
|
Ausgabe 10/2018
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Abstract
Purpose of Review
We aim to systematically review the literature on the effectiveness of pediatric antimicrobial stewardship programs (ASPs) and antimicrobial stewardship (AS) strategies in the United States (US) inpatient setting. Furthermore, we review current gaps and challenges for unique pediatric populations and those in ambulatory settings.
Recent Findings
Misuse and overuse of antimicrobials have been identified as key factors for antimicrobial resistance (AR). Multiple professional organizations support the implementation of hospital-based ASPs to decrease antimicrobial consumption, improve patient outcomes, and reduce healthcare costs. There is limited data on the effectiveness of inpatient pediatric ASPs and AS strategies in unique populations. Furthermore, there is a paucity of evidence on ASPs in ambulatory settings.
Summary
This review contributes to the growing body of evidence that supports the use of pediatric ASPs to optimize antimicrobial therapy in the inpatient setting as well as in unique patient populations and ambulatory settings. Active stewardship is critical and antimicrobial consumption is a key outcome metric for programs.