e644ad5560727fd585f979fc5b14ef87 pmc_10604141.pdf 6ad3f362c0e8b7e0604827377fd3d4670e97e5ed pmc_10604141.pdf 46f5db4e5dcdbb95a4996a59a77cd2104a2178ef578a8b25297ab5096c7f0783 pmc_10604141.pdf Title: The Interventions and Challenges of Antimicrobial Stewardship in the Emergency Department Subject: Over the last decades, we have witnessed a constant increase in infections caused by multi-drug-resistant strains in emergency departments. Despite the demonstrated effectiveness of antimicrobial stewardship programs in antibiotic consumption and minimizing multi-drug-resistant bacterium development, the characteristics of emergency departments pose a challenge to their implementation. The inclusion of rapid diagnostic tests, tracking microbiological results upon discharge, conducting audits with feedback, and implementing multimodal educational interventions have proven to be effective tools for optimizing antibiotic use in these units. Nevertheless, future multicenter studies are essential to determine the best way to proceed and measure outcomes in this scenario. Keywords: antimicrobial stewardship; drug resistance; emergency care Author: Jesus Ruiz-Ramos, Laura Escolà-Vergé, Álvaro Eloy Monje-López, Sergio Herrera-Mateo and Alba Rivera Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Mon Oct 9 13:42:44 2023 CEST ModDate: Mon Oct 9 13:45:05 2023 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 15 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1149207 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- KLMLGM+VnURWPalladioL-Bold Type 1 Custom yes yes no 10 0 HCRKXL+VnURWPalladioL Type 1 Custom yes yes no 15 0 UVHAXG+URWPalladioL-Bold Type 1 Custom yes yes no 19 0 GTZVFD+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 KPLZHJ+URWPalladioL-Ital Type 1 Custom yes yes no 28 0 YYFPCJ+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 47 0 LWLIVD+EURM10 Type 1 Builtin yes yes no 69 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 84 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 88 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 92 0 BCDEEE+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 106 0 BCDFEE+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 110 0 BCDGEE+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 114 0 CRUZTT+VnURWPalladioL-Italic Type 1 Custom yes yes no 142 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-05-07 02:38:54 CEST RepresentationInformation: pmc_10604141.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-04-24 02:39:09 CEST Size: 1149207 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 426 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Multi-Drug-Resistant Bacteria in Emergency Departments Destination: section.2 Item: Title: Antimicrobial Prescription in Emergency Departments Destination: section.3 Item: Title: Antimicrobial Stewardship Indicators in Emergency Departments Destination: section.4 Item: Title: Antimicrobial Stewardship Interventions in the Emergency Department Destination: section.5 Children: Item: Title: Formation of an Antimicrobial Stewardship Team in EDs Destination: subsection.5.1 Item: Title: Rapid Diagnostic Tests Destination: subsection.5.2 Item: Title: Culture Follow-Up Programs Destination: subsection.5.3 Item: Title: Availability of Resistance Profiles and Antimicrobial Consumption Data Destination: subsection.5.4 Item: Title: Education for Patients and Professionals Destination: subsection.5.5 Item: Title: Inclusion of Biomarkers Destination: subsection.5.6 Item: Title: Formulary Restrictions Destination: subsection.5.7 Item: Title: Outcomes of ED Antimicrobial Stewardship Programs Destination: section.6 Item: Title: Conclusions Destination: section.7 Item: Title: References Destination: section.8 Info: Title: The Interventions and Challenges of Antimicrobial Stewardship in the Emergency Department Author: Jesus Ruiz-Ramos, Laura Escolà-Vergé, Álvaro Eloy Monje-López, Sergio Herrera-Mateo and Alba Rivera Subject: Over the last decades, we have witnessed a constant increase in infections caused by multi-drug-resistant strains in emergency departments. Despite the demonstrated effectiveness of antimicrobial stewardship programs in antibiotic consumption and minimizing multi-drug-resistant bacterium development, the characteristics of emergency departments pose a challenge to their implementation. The inclusion of rapid diagnostic tests, tracking microbiological results upon discharge, conducting audits with feedback, and implementing multimodal educational interventions have proven to be effective tools for optimizing antibiotic use in these units. Nevertheless, future multicenter studies are essential to determine the best way to proceed and measure outcomes in this scenario. 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