Antibiotic Stewardship in Hospitals During Public Health Emergencies

Publication Date: September 13, 2022

Key Points

Key Points

  • This consensus statement advises hospitals and healthcare personnel (HCP) in ways to improve antimicrobial stewardship and antimicrobial use during infectious disease crises.
  • Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) often presents with findings suggestive of bacterial co-infection, leading to inappropriate antibiotic use and infections with multidrug-resistant organisms (MDROs). This advice may serve as an example for future infectious disease crises

Recommendations

...ommendations...

...initiation of antibiotics — particularly...


...iagnostic Testing

...ay perform inflammatory marker tests at...

...d repeat laboratory testing only to the ex...

...monitor CRP if clinically indicated to...

...not use inflammatory markers as the basis fo...

...not obtain bacterial cultures or respiratory...


...During Respiratory Viral Pandemic...

...eated at the time of hospital admission, HCP shoul...

...re are new clinical signs that are consi...

...onsider co-infection with other viruses, such a...


...logic and Radiographic Diagnostic Tests...

...iating antibiotics, HCP should attempt t...

...uld limit respiratory multiplex PCR tests to ICU...

...ict repeat microbiologic testing to changes i...

HCP should perform a nasal methicillin-resista...