A call to action for antimicrobial stewardship in the emergency department: approaches and strategies

Larissa May; Sara Cosgrove; Michelle L'Archeveque; David A Talan; Perry Payne; Jeanne Jordan; Richard E Rothman

doi:10.1016/j.annemergmed.2012.09.002

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A call to action for antimicrobial stewardship in the emergency department: approaches and strategies

Journal article

Peer reviewed

A call to action for antimicrobial stewardship in the emergency department: approaches and strategies

Larissa May, Sara Cosgrove, Michelle L'Archeveque, David A Talan, Perry Payne, Jeanne Jordan and Richard E Rothman

Annals of emergency medicine, Vol.62(1), pp.69-77.e2

07/2013

DOI: 10.1016/j.annemergmed.2012.09.002

PMCID: PMC3872779

PMID: 23122955

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Abstract

Antimicrobial resistance is a mounting public health concern. Emergency departments (EDs) represent a particularly important setting for addressing inappropriate antimicrobial prescribing practices, given the frequent use of antibiotics in this setting that sits at the interface of the community and the hospital. This article outlines the importance of antimicrobial stewardship in the ED setting and provides practical recommendations drawn from existing evidence for the application of various strategies and tools that could be implemented in the ED including advancement of clinical guidelines, clinical decision support systems, rapid diagnostics, and expansion of ED pharmacist programs.

United States

Anti-Infective Agents - therapeutic use

Communicable Diseases - drug therapy

Communicable Diseases - microbiology

Cross Infection - drug therapy

Cross Infection - prevention & control

Drug Resistance, Microbial

Drug Utilization - standards

Emergency Service, Hospital - standards

Female

Guideline Adherence

Humans

Male

Microbial Sensitivity Tests

Practice Guidelines as Topic

Practice Patterns, Physicians

Quality Control

Details

Title: Subtitle: A call to action for antimicrobial stewardship in the emergency department: approaches and strategies
Creators: Larissa May - George Washington University
Sara Cosgrove - Johns Hopkins University
Michelle L'Archeveque - George Washington University
David A Talan
Perry Payne - George Washington University
Jeanne Jordan - George Washington University
Richard E Rothman - Johns Hopkins University
Resource Type: Journal article
Publication Details: Annals of emergency medicine, Vol.62(1), pp.69-77.e2
DOI: 10.1016/j.annemergmed.2012.09.002
PMID: 23122955
PMCID: PMC3872779
NLM abbreviation: Ann Emerg Med
ISSN: 0196-0644
eISSN: 1097-6760
Grant note: KL2TR000076 / NCATS NIH HHS UL1TR000075 / NCATS NIH HHS UL1 TR000075 / NCATS NIH HHS KL2 TR000076 / NCATS NIH HHS P01 NS044233 / NINDS NIH HHS
Language: English
Date published: 07/2013
Academic Unit: Emergency Medicine; Internal Medicine
Record Identifier: 9984296972702771

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