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Updated: Jun 27, 2025

Multiplex Therapeutic Drug Monitoring by Isotope-dilution HPLC-MS/MS of Antibiotics in Critical Illnesses
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Antibiotic Stewardship in Surgical Departments

Irene Kourbeti1, Aikaterini Kamiliou1, Michael Samarkos1

  • 1Department of Internal Medicine, School of Medicine, National and Kapodistrian, University of Athens, 11527 Athens, Greece.

Antibiotics (Basel, Switzerland)
|April 26, 2024
PubMed

Insights

Antimicrobial resistance (AMR) is a major public health crisis. This review highlights antimicrobial stewardship (AS) in surgical settings and the role of diagnostic stewardship (DS) and AI in combating AMR.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Healthcare Management

Background:

  • Antimicrobial resistance (AMR) is a significant global threat, increasing patient morbidity, mortality, and healthcare costs.
  • Factors contributing to AMR include socioeconomic determinants, healthcare governance, and environmental interactions.
  • Antimicrobial stewardship (AS) programs have historically faced challenges engaging surgical teams.

Purpose of the Study:

  • To review the evolution and importance of AS in surgical wards, including surgical intensive care units (SICUs).
  • To explore the role of diagnostic stewardship (DS) and emerging technologies like artificial intelligence (AI) in managing AMR.

Main Methods:

  • Literature review summarizing current evidence on AS in surgical settings.
  • Analysis of the contribution of AS team members.
  • Review of new diagnostic modalities and technologies, including AI.

Main Results:

  • AS programs are crucial for mitigating AMR in surgical patients.
  • DS and AI offer promising avenues for improving antimicrobial use and patient outcomes.
  • Multidisciplinary collaboration is key to successful AS implementation.

Conclusions:

  • Enhanced AS strategies, integrating DS and AI, are essential for surgical wards.
  • Addressing AMR requires a comprehensive approach involving all healthcare stakeholders.
  • Future research should focus on optimizing AS interventions in diverse surgical populations.
Keywords:
antimicrobial resistanceantimicrobial stewardshipbiomarkersdiagnostic stewardshipsurgical antibiotic prophylaxissurgical site infections

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