1. Effects of a comprehensive antimicrobial stewardship program in a surgical intensive care unit
- Author
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Si-Ho Kim, Jin Gu Yoon, Hyo Jung Park, Hojeong Won, Sung Suk Ryoo, Eunsil Choi, Eun-Kyung Park, Kyungmin Huh, and Chi-Min Park
- Subjects
Antimicrobial stewardship ,Drug resistance ,Microbial ,Critical care ,Mortality ,Infectious and parasitic diseases ,RC109-216 - Abstract
Objectives: We evaluated the effects of a comprehensive antimicrobial stewardship program (ASP) in a surgical intensive care unit (SICU). Methods: The ASP was implemented from March 2018 to February 2019 at an SICU in a teaching hospital. An infectious disease physician and a pharmacist visited the SICU 3 times per week for prospective audit and feedback. Outcomes were compared between the ASP period and the same months in the preceding year (pre-ASP period). The primary outcome measure was the use of anti-pseudomonal beta-lactams (APBL). Appropriate antimicrobial de-escalation and ICU mortality rates were also compared. Results: A total of 182 and 149 patients were included in the study for the pre-ASP and ASP periods, respectively. Although disease severity was higher in the ASP group (septic shock 39.0% in pre-ASP vs 65.1% in ASP group, P
- Published
- 2021
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