Collaborative Antimicrobial Stewardship in the Emergency Department
- PMID: 32008694
- DOI: 10.1016/j.idc.2019.10.004
Collaborative Antimicrobial Stewardship in the Emergency Department
Abstract
Given the large number of patients seen in the emergency department (ED) and concerns with antibiotic overprescribing, the ED is an important setting to target for antimicrobial stewardship (AS) initiatives. The ED is positioned between ambulatory and inpatient settings, making AS collaboration with clinicians and other health care providers in the hospital, long-term care facilities, and ambulatory settings critical to success. This article details ED-focused AS strategies on empiric antimicrobial selection, prompt administration, preventing ED return and readmissions, suggested collaborations between ED AS leadership and other key partners, and potential future strategies for expansion.
Keywords: Antibiotic stewardship; Antimicrobial stewardship; Collaboration; Emergency department; Emergency medicine.
Copyright © 2019 Elsevier Inc. All rights reserved.
Conflict of interest statement
Disclosure Dr N.M. Acquisto has nothing to disclose. Dr L. May has the following disclosures: she has previously received research support from Cepheid and BioFire Diagnostics; she currently receives research support from Roche Diagnostics; she is an advisor to BioRad, Qvella, Nabriva, and Roche Diagnostics; and she has received honoraria for speaking engagements from Cepheid.
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