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Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
Published on: August 30, 2018
Antimicrobial ethicists: Making ethics explicit in antimicrobial stewardship
Christina F Yen1,2, James B Cutrell3
1Division of Infection Control and Hospital Epidemiology, Silverman Institute of Healthcare Quality & Safety, Beth Israel Deaconess Medical Center, Boston, Massachusetts.
Abstract:
Antimicrobial prescribing and the associated discipline of antimicrobial stewardship have inherent ethical and moral dimensions. We contend that the explicit, formal application of ethical principles and frameworks can strengthen and further justify the value of antimicrobial stewardship programs and their work. To illustrate the value of this process, we highlight 3 ethical scenarios that antimicrobial stewardship programs regularly encounter at the prescriber, institutional, and societal levels, and we analyze these scenarios using the Beauchamp and Childress biomedical ethics framework.
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