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[Antibiotic stewardship (ABS). Part 1: Basics].

S Wendt1,2,3, D Ranft2,4, K de With5

  • 1Bereich Infektions- und Tropenmedizin, Klinik und Poliklinik für Gastroenterologie, Hepatologie, Infektiologie, Pneumologie, Department für Innere Medizin, Neurologie und Dermatologie, Universitätsklinikum Leipzig, AöR, Liebigstr. 20, 04103, Leipzig, Deutschland.

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Summary
This summary is machine-generated.

Antibiotic stewardship (ABS) is crucial for combating antimicrobial resistance. ABS teams in hospitals analyze local data to optimize antibiotic use, ensuring patient safety while reducing resistance.

Keywords:
Anti-bacterial agentsAnti-infective agentsAntimicrobial stewardshipDrug resistance, microbialEvidence-based practiceGuidelineResources

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Area of Science:

  • Infectious Diseases
  • Public Health
  • Clinical Pharmacy

Background:

  • Rising antimicrobial resistance necessitates effective antibiotic stewardship (ABS).
  • A comprehensive S3 guideline for Germany and Austria was last updated in 2018.
  • Hospital-based ABS is vital for controlling pathogen spread and multidrug resistance.

Purpose of the Study:

  • To outline key components and challenges of hospital-level antibiotic stewardship.
  • To highlight the role of ABS teams in optimizing antimicrobial therapy.
  • To explore the potential of digitalization and AI in enhancing ABS.

Main Methods:

  • Structured analysis of local antibiotic use and resistance data.
  • Implementation of evidence-based, locally adapted therapy recommendations.
  • Bedside review of antimicrobial therapy by specialized ABS teams during ward rounds.
  • Focus on balancing antibiotic reduction with patient safety.

Main Results:

  • ABS involves ongoing data analysis to guide treatment strategies.
  • Regular ward rounds by ABS teams are essential for critical evaluation of antibiotic use.
  • The primary challenge is to conserve antibiotics without negatively impacting individual patient outcomes.

Conclusions:

  • Effective antibiotic stewardship requires specialized teams and data-driven decision-making.
  • Digitalization and artificial intelligence present new opportunities for improving ABS.
  • Adapting inpatient ABS strategies for outpatient settings is also a key consideration.