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Antimicrobial Stewardship: A Review for Internal Medicine Physicians

Syeda Sahra1, Abdullah Jahangir2, Vincent De Chavez3

  • 1Internal Medicine, Staten Island University Hospital Northwell, Staten Island, USA.

Cureus
|May 12, 2021
PubMed

Insights

Antimicrobial stewardship is crucial to combat resistant pathogens and prevent healthcare system collapse. Implementing Antimicrobial Stewardship Programs (ASP) provides physicians with strategies for appropriate antibiotic use and management of infections.

Area of Science:

  • Infectious Diseases
  • Internal Medicine
  • Public Health

Background:

  • Rising antimicrobial resistance poses a significant threat to global health.
  • Indiscriminate antibiotic use has led to widespread pathogen resistance, limiting treatment options.
  • Gram-negative bacteria are increasingly resistant to major antibiotic classes.

Purpose of the Study:

  • To review the importance of Antimicrobial Stewardship Programs (ASP) for internal medicine physicians and residents.
  • To provide an educational guide on evidence-based ASP implementation.
  • To discuss clinical scenarios, antibiotic indications, and newer treatment options.

Main Methods:

  • Literature review on antimicrobial stewardship principles and practices.
  • Discussion of common clinical scenarios and antibiotic selection.
  • Highlighting the role of the healthcare team in ASPs.
  • Review of adverse effects and newer antibiotic agents.

Main Results:

  • Antimicrobial resistance necessitates structured stewardship programs.
  • Physicians require guidance on appropriate antibiotic indications and pathogen-guided therapy.
  • Newer antibiotics offer alternatives but require judicious use.
  • Multidisciplinary team involvement is key to successful ASPs.

Conclusions:

  • Antimicrobial Stewardship Programs are essential for preserving antibiotic efficacy.
  • Education and evidence-based strategies are vital for effective ASP implementation.
  • A collaborative healthcare approach is necessary to combat antimicrobial resistance.
Keywords:
anitibioticsantimicrobial resistanceantimicrobial stewardship programsuper bugs

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