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- Title
Antibiotic‐resistant bacteria: COVID‐19 hasn't made the challenge go away.
- Authors
Waterer, Grant; Pickens, Chiagozie Ifeoma; Wunderink, Richard
- Abstract
These principles should apply to all antibiotic use in our hospitals and clinicians should always be asking "does my patient still need antibiotics" and 'can I narrow the spectrum of antibiotic therapy I am currently giving'? The excellent negative predictive value of many rapid diagnostic platforms can reliably allow for antibiotic de-escalation, reducing the rate of development of nosocomial antibiotic resistance,24-26 provided we can get clinicians to de-escalate therapy appropriately. In these patients, infection with highly antibiotic-resistant pathogens is a marker of a compromised host approaching end of life where clearance of the infection is insufficient in itself to alter the overall prognosis. Keywords: antibiotics; antimicrobial stewardship; bacteria; pneumonia; resistance EN antibiotics antimicrobial stewardship bacteria pneumonia resistance 1024 1026 3 10/20/21 20211101 NES 211101 We are currently immersed in the problems of the COVID-19 pandemic and the whole world is now acutely aware of the threat that respiratory infections have long posed to human beings.
- Subjects
DRUG resistance in bacteria; KLEBSIELLA pneumoniae; ACINETOBACTER baumannii; COVID-19; AGRICULTURAL antibiotics; RESPIRATORY infections; PROGNOSIS
- Publication
Respirology, 2021, Vol 26, Issue 11, p1024
- ISSN
1323-7799
- Publication type
Article
- DOI
10.1111/resp.14166