Addition of ID specialist reduces use of broad-spectrum antibiotics in ICU


Sumary of Addition of ID specialist reduces use of broad-spectrum antibiotics in ICU:

  • The addition of an infectious diseases specialist to the critical care team at a New York hospital led to a decrease in the use of commonly prescribed broad-spectrum antibiotics without negatively impacting patient care, according to a study..
  • Sarwar, MD, associate professor in the division of infectious diseases at the Albert Einstein College of Medicine at Montefiore Medical Center, told Healio..
  • After introducing an antibiotic stewardship program paired with an infectious disease consult, prescribing of commonly used antibiotics decreased..
  • Sarwar and colleagues designed a hybrid ID consultation and stewardship program in collaboration with the hospital critical care medicine division and evaluated the effect of regular ID consultation on antibiotic use and clinical outcomes in patients..
  • As part of the pilot program, “an ID attending was assigned to participate in daily rounds with the ICU team, as well as provide ID consultation on select patients,”.
  • A total of 3,496 patients were included in the study 1,766 in the intervention group and 1,730 in the control group..
  • They included the six most commonly used broad-spectrum antibiotics cefepime, daptomycin, linezolid, meropenem, piperacillin-tazobactam and vancomycin in the final analysis….

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