Division of Infectious Diseases, Department of Medicine, University of Nebraska Medical Center, 985400 Nebraska Medical Center, Omaha, NE 68198-5400, USA.
Division of Infectious Diseases, Department of Medicine, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mailstop 1028, Kansas City, KS, USA.
Infect Dis Clin North Am. 2023 Sep;37(3):539-560. doi: 10.1016/j.idc.2023.04.005. Epub 2023 Jun 4.
Although antimicrobial stewardship programs have excelled over the past decade, uptake and application of these programs to special populations such as solid organ transplant recipients have lagged. Here, we review the value of antimicrobial stewardship for transplant centers and highlight data supporting interventions that are ripe for adoption. In addition, we review the design of antimicrobial stewardship initiatives, targets for both syndromic and system-based interventions.
尽管抗菌药物管理计划在过去十年中取得了卓越成就,但这些计划在实体器官移植受者等特殊人群中的应用和采用却滞后了。在这里,我们回顾了抗菌药物管理计划对移植中心的价值,并强调了支持成熟干预措施的数据。此外,我们还回顾了抗菌药物管理计划的设计、综合征和基于系统的干预措施的目标。