Optimizing Antimicrobial Stewardship in the Emergency

Emerg. Med. Clin. North Am. · May 2024

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Optimizing Antimicrobial Stewardship in the Emergency Department.

Antibiotic stewardship is a core component of emergency department (ED) practice and impacts patient safety, clinical outcomes, and public health. The unique characteristics of ED practice, including crowding, time pressure, and diagnostic uncertainty, need to be considered when implementing antibiotic stewardship interventions in this setting. Rapid advances in pathogen detection and host response biomarkers promise to revolutionize the diagnosis of infectious diseases in the ED, but such tests are not yet considered standard of care. Presently, clinical decision support embedded in the electronic health record and pharmacist-led interventions are the most effective ways to improve antibiotic prescribing in the ED.

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- Julia Sapozhnikov, Fritzie S Albarillo, and Michael S Pulia.
- Medical Science Liaison, Karius Inc, 975 Island Drive, Redwood City, CA 94065, USA.
- Emerg. Med. Clin. North Am. 2024 May 1; 42 (2): 443459443-459.
AbstractAntibiotic stewardship is a core component of emergency department (ED) practice and impacts patient safety, clinical outcomes, and public health. The unique characteristics of ED practice, including crowding, time pressure, and diagnostic uncertainty, need to be considered when implementing antibiotic stewardship interventions in this setting. Rapid advances in pathogen detection and host response biomarkers promise to revolutionize the diagnosis of infectious diseases in the ED, but such tests are not yet considered standard of care. Presently, clinical decision support embedded in the electronic health record and pharmacist-led interventions are the most effective ways to improve antibiotic prescribing in the ED.Copyright © 2024 Elsevier Inc. All rights reserved.

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Optimizing Antimicrobial Stewardship in the Emergency Department.

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