NewYork-Presbyterian Hospital, New York, NY.
Department of Medicine, Division of Infectious Diseases, Columbia University Irving Medical Center, New York, NY.
Am J Health Syst Pharm. 2021 Mar 31;78(8):743-750. doi: 10.1093/ajhp/zxaa419.
To share challenges and opportunities for antimicrobial stewardship programs based on one center's experience during the early weeks of the coronavirus disease 2019 (COVID-19) pandemic.
In the spring of 2020, New York City quickly became a hotspot for the COVID-19 pandemic in the United States, putting a strain on local healthcare systems. Antimicrobial stewardship programs faced diagnostic and therapeutic uncertainties as well as healthcare resource challenges. With the lack of effective antivirals, antibiotic use in critically ill patients was difficult to avoid. Uncertainty drove antimicrobial use and thus antimicrobial stewardship principles were paramount. The dramatic influx of patients, drug and equipment shortages, and the need for prescribers to practice in alternative roles only compounded the situation. Establishing enhanced communication, education, and inventory control while leveraging the capabilities of the electronic medical record were some of the tools used to optimize existing resources.
New York City was a unique and challenging environment during the initial peak of the COVID-19 pandemic. Antimicrobial stewardship programs can learn from each other by sharing lessons learned and practice opportunities to better prepare other programs facing COVID-19 case surges.
分享一个中心在 2019 年冠状病毒病（COVID-19）大流行早期的经验，介绍抗生素管理计划所面临的挑战和机遇。
2020 年春季，纽约市迅速成为美国 COVID-19 大流行的热点地区，给当地医疗系统带来了压力。抗生素管理计划面临诊断和治疗方面的不确定性以及医疗资源方面的挑战。由于缺乏有效的抗病毒药物，危重症患者使用抗生素难以避免。不确定性导致了抗生素的使用，因此抗生素管理原则至关重要。大量涌入的患者、药物和设备短缺，以及需要医生以替代角色进行治疗，使情况更加复杂。建立强化沟通、教育和库存控制，同时利用电子病历的功能，是优化现有资源的一些工具。
在 COVID-19 大流行的最初高峰期，纽约市是一个独特而具有挑战性的环境。抗生素管理计划可以通过分享经验教训和实践机会互相学习，为其他面临 COVID-19 病例激增的计划做好更好的准备。
