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Opportunities to Improve Antibiotic Prescribing in Outpatient Hemodialysis Facilities: A Report From the American Society of Nephrology and Centers for Disease Control and Prevention Antibiotic Stewardship White Paper Writing Group.
- Source :
-
American journal of kidney diseases : the official journal of the National Kidney Foundation [Am J Kidney Dis] 2021 May; Vol. 77 (5), pp. 757-768. Date of Electronic Publication: 2020 Oct 10. - Publication Year :
- 2021
-
Abstract
- Antibiotic use is necessary in the outpatient hemodialysis setting because patients receiving hemodialysis are at increased risk for infections and sepsis. However, inappropriate antibiotic use can lead to adverse drug events, including adverse drug reactions and infections with Clostridioides difficile and antibiotic-resistant bacteria. Optimizing antibiotic use can decrease adverse events and improve infection cure rates and patient outcomes. The American Society of Nephrology and the US Centers for Disease Control and Prevention created the Antibiotic Stewardship in Hemodialysis White Paper Writing Group, comprising experts in antibiotic stewardship, infectious diseases, nephrology, and public health, to highlight strategies that can improve antibiotic prescribing for patients receiving maintenance hemodialysis. Based on existing evidence and the unique patient and clinical setting characteristics, the following strategies for improving antibiotic use are reviewed: expanding infection and sepsis prevention activities, standardizing blood culture collection processes, treating methicillin-susceptible Staphylococcus aureus infections with β-lactams, optimizing communication between nurses and prescribing providers, and improving data sharing across transitions of care. Collaboration among the Centers for Disease Control and Prevention; American Society of Nephrology; other professional societies such as infectious diseases, hospital medicine, and vascular surgery societies; and dialysis provider organizations can improve antibiotic use and the quality of care for patients receiving maintenance hemodialysis.<br /> (Copyright © 2020 National Kidney Foundation, Inc. All rights reserved.)
- Subjects :
- Ambulatory Care
Ambulatory Care Facilities
Blood Culture standards
Centers for Disease Control and Prevention, U.S.
Clinical Audit
Decision Support Systems, Clinical
Formative Feedback
Humans
Interdisciplinary Communication
Nephrology
Patient Transfer standards
Quality Improvement
Societies, Medical
Staphylococcus aureus
United States
Anti-Bacterial Agents therapeutic use
Antimicrobial Stewardship
Infection Control
Kidney Failure, Chronic therapy
Renal Dialysis
Sepsis prevention & control
Staphylococcal Infections drug therapy
beta-Lactams therapeutic use
Subjects
Details
- Language :
- English
- ISSN :
- 1523-6838
- Volume :
- 77
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- American journal of kidney diseases : the official journal of the National Kidney Foundation
- Publication Type :
- Academic Journal
- Accession number :
- 33045256
- Full Text :
- https://doi.org/10.1053/j.ajkd.2020.08.011