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Review
. 2013 Jul;62(1):69-77.e2.
doi: 10.1016/j.annemergmed.2012.09.002. Epub 2012 Nov 2.

A call to action for antimicrobial stewardship in the emergency department: approaches and strategies

Larissa May  1 , Sara Cosgrove, Michelle L'Archeveque, David A Talan, Perry Payne, Jeanne Jordan, Richard E Rothman
Affiliations
Review

A call to action for antimicrobial stewardship in the emergency department: approaches and strategies

Larissa May et al. Ann Emerg Med. 2013 Jul.

Abstract

Antimicrobial resistance is a mounting public health concern. Emergency departments (EDs) represent a particularly important setting for addressing inappropriate antimicrobial prescribing practices, given the frequent use of antibiotics in this setting that sits at the interface of the community and the hospital. This article outlines the importance of antimicrobial stewardship in the ED setting and provides practical recommendations drawn from existing evidence for the application of various strategies and tools that could be implemented in the ED including advancement of clinical guidelines, clinical decision support systems, rapid diagnostics, and expansion of ED pharmacist programs.

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Conflict of interest statement

Conflicts of Interest:

Dr. Rothman served as a one-time consultant for an expert panel for Forest Research Institute and has received grant funding for research from IBIS (now Abbott Biosciences) and Cepheid. Drs. May and Talan have received research support from Cepheid. Dr. Cosgrove has had an unrestricted grant from AdvanDx.

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References

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