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Updated: Dec 29, 2025

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Collaborative Antimicrobial Stewardship for Surgeons.

Evan D Robinson1, David F Volles2, Katherine Kramme3

  • 1Department of Medicine, Division of Infectious Diseases, University of Virginia, PO Box 801340, Charlottesville, VA 22908-1340, USA.

Infectious Disease Clinics of North America
|February 4, 2020
PubMed
Summary

Effective antimicrobial stewardship involving surgeons requires open communication between surgeons, infectious diseases specialists, and pharmacists. Collaboration on guidelines for surgical prophylaxis, infection management, and critical care strengthens patient safety and relationships.

Keywords:
Antibiotic stewardshipAntimicrobial resistanceSurgery

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Area of Science:

  • Infectious Diseases
  • Surgical Care
  • Health Policy

Background:

  • Antimicrobial stewardship programs (ASPs) are crucial for optimizing antibiotic use.
  • Surgeon involvement in ASPs is essential but requires interdisciplinary collaboration.
  • Effective communication is key to successful ASP implementation in surgical settings.

Purpose of the Study:

  • To highlight the importance of communication in surgeon-inclusive antimicrobial stewardship.
  • To identify key areas of antimicrobial use in surgery that require stewardship focus.
  • To advocate for evidence-based policy development and flexible approaches in surgical antimicrobial stewardship.

Main Methods:

  • This is a conceptual and policy-focused abstract, not based on a specific empirical study.
  • It synthesizes current understanding of antimicrobial stewardship principles in surgical contexts.
  • It emphasizes the role of interdisciplinary communication and consensus-building.

Main Results:

  • Open communication between surgeons, infectious diseases specialists, and pharmacists is fundamental to successful antimicrobial stewardship.
  • Key areas for stewardship include surgical prophylaxis, surgical infection management, and surgical critical care.
  • Developing consensus on guidelines and protocols requires timely interactions and evidence-based policy.

Conclusions:

  • Strengthening interdisciplinary relationships through flexibility enhances antimicrobial stewardship outcomes.
  • Collaborative efforts are vital for optimizing antibiotic use in surgical patients.
  • Policy development should support and facilitate effective communication and consensus in surgical antimicrobial stewardship.