Strategic alliance between the infectious diseases specialist and intensive care unit physician for change in antibiotic use. Journal of chemotherapy (Florence, Italy) [J Chemother] Journal article | | Title | Strategic alliance between the infectious diseases specialist and intensive care unit physician for change in antibiotic use. | | Author(s) | Curcio D, Belloni R | | Institution | Infectious Diseases Service, Sanatorio Güemes, Buenos Aires, Argentina. djcurcio@aconectarse.com | | Source | J Chemother 2005 Feb; 17(1):74-6. | | MeSH | Anti-Bacterial Agents
Bacterial Infections
Drug Resistance, Microbial
Drug Utilization
Humans
Infection Control
Infection Control Practitioners
Intensive Care Units
Length of Stay
Physician's Practice Patterns
Referral and Consultation
Retrospective Studies
| | Abstract | There is a general consensus that antimicrobial use in intensive care units (ICU) is greater than that in general wards. By implementing a strategy of systematic infectious disease consultations in agreement with the ICU chief, we have modified the antibiotic prescription habits of the ICU physician. A reduction was observed in the use of selected antibiotics (third-generation cephalosporins, vancomycin, carbapenems and piperacillin-tazobactam), with a significant reduction in the length of hospital stay for ICU patients and lower antibiotic costs without negative impact on patient mortality. Leadership by the infectious diseases consultant in combination with commitment by ICU physicians is a simple and effective method to change antibiotic prescription habits in the ICU. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 15828447 |
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