• Emerg. Med. Clin. North Am. · Nov 2018

    Review

    Antimicrobial Stewardship in the Emergency Department.

    • Michael Pulia, Robert Redwood, and Larissa May.
    • BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison School of Medicine and Public Health, 800 University Bay Drive, Suite 300, Madison, WI 53705, USA. Electronic address: mspulia@medicine.wisc.edu.
    • Emerg. Med. Clin. North Am. 2018 Nov 1; 36 (4): 853872853-872.

    AbstractThe emergency department (ED) is the hub of the US health care system. Acute infectious diseases are frequently encountered in the ED setting, making this a critical setting for antimicrobial stewardship efforts. Systems level and behavioral stewardship interventions have demonstrated success in the ED setting but successful implementation depends on institutional support and the presence of a physician champion. Antimicrobial stewardship efforts in the ED should target high-impact areas: antibiotic prescribing for nonindicated respiratory tract conditions, such as bronchitis and sinusitis; overtreatment of asymptomatic bacteriuria; and using two antibiotics (double coverage) for uncomplicated cases of cellulitis or abscess.Copyright © 2018 Elsevier Inc. All rights reserved.

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