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Updated: Aug 25, 2026

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
[Control scale of antibiotic prescriptions in intensive care]
Marie Thuong1, Jean-Ralph Zahar, Yves Cohen
1Service de réanimation polyvalente, Hôpital Delafontaine, Saint-Denis (93).
Abstract:
THE PROBLEM TO BE SOLVED: The improvement in the prescription of antibiotics (PA) is currently one of the stages necessary for the management of bacterial resistances. Patients admitted to intensive care, because of an acute affection or fragile territory, are frequently administered an antibiotic. The inappropriate nature of the PA is noted in 30 to 50% of cases. The inadequacy of the initial antibiotic therapy leads to an excessive increase in mortality and morbidity.
The Development Of A Control Tool:
In order to improve our habits and help the prescribers, a panel of experts discussed the subject of the prescription of antibiotics during the 3rd day of the Outcomerea Group. At the end of this meeting, practical guidelines together with a scale for the control of the prescription of antibiotics had been established.
Comments:
We targeted our discussion on the importance of empirical treatment and the need to document the infectious episode. Moreover, we discussed the choice of the antibiotic molecule and the crucial need to reassess the treatment set-up. We also approach the place of combinations of antibiotics and their indications in our units as well as the optimal duration of the treatments.
Insights
Improving antibiotic prescription is crucial for managing bacterial resistance. New guidelines and a control scale were developed to help prescribers optimize antibiotic use in intensive care, reducing mortality and morbidity.
Area of Science:
- Infectious Diseases
- Pharmacology
- Critical Care Medicine
Context:
- Antibiotic resistance is a major global health threat.
- Inappropriate antibiotic prescription (PA) occurs in 30-50% of intensive care unit (ICU) patients.
- Inadequate initial antibiotic therapy increases mortality and morbidity.
Purpose:
- To improve antibiotic prescription habits in healthcare settings.
- To develop practical guidelines and a control tool for antibiotic prescription.
- To address challenges in antibiotic use, including empirical treatment and reassessment.
Summary:
- A panel of experts convened to discuss and establish guidelines for antibiotic prescription.
- Key discussion points included empirical treatment, documentation, antibiotic choice, reassessment, combination therapy, and treatment duration.
- A control scale was developed to aid prescribers in optimizing antibiotic use.
Impact:
- Aims to reduce the incidence of inappropriate antibiotic prescription in ICUs.
- Expected to improve patient outcomes by optimizing antibiotic therapy.
- Contributes to the broader strategy of combating antimicrobial resistance.
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