Department of Pharmacy, University of Rochester Medical Center, 601 Elmwood Avenue, Box 638, Rochester, NY 14642, USA; Department of Emergency Medicine, University of Rochester Medical Center, 601 Elmwood Avenue, Box 655, Rochester, NY 14642, USA.
Department of Emergency Medicine, University of California, Davis Health, 4150 V Street Patient Support Services Building (PSSB), Suite 2100, Sacramento, CA 95817, USA. Electronic address: https://twitter.com/LSMayMD.
Infect Dis Clin North Am. 2020 Mar;34(1):109-127. doi: 10.1016/j.idc.2019.10.004.
Given the large number of patients seen in the emergency department (ED) and concerns with antibiotic overprescribing, the ED is an important setting to target for antimicrobial stewardship (AS) initiatives. The ED is positioned between ambulatory and inpatient settings, making AS collaboration with clinicians and other health care providers in the hospital, long-term care facilities, and ambulatory settings critical to success. This article details ED-focused AS strategies on empiric antimicrobial selection, prompt administration, preventing ED return and readmissions, suggested collaborations between ED AS leadership and other key partners, and potential future strategies for expansion.
鉴于在急诊科（ED）就诊的患者数量众多，以及对抗生素过度处方的担忧，ED 是一个重要的目标领域，可针对抗菌药物管理（AS）计划采取措施。ED 位于门诊和住院环境之间，因此与医院、长期护理机构和门诊环境中的临床医生和其他医疗保健提供者进行 AS 合作对于成功至关重要。本文详细介绍了针对经验性抗菌药物选择、及时给药、预防 ED 复诊和再入院的 ED 为重点的 AS 策略、ED AS 领导层与其他关键合作伙伴之间的建议合作以及未来潜在的扩展策略。
