Antibiotic Stewardship in Hospitals During Public Health Emergencies

Publication Date: September 14, 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

...Recommendations...

...ould limit initiation of antibiotics ...


...Diagnostic Testing...

...inflammatory marker tests at baseline, partic...

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

HCP can monitor CRP if clinically...

...hould not use inflammatory markers as...

...uld not obtain bacterial cultures or respi...


...Antibiotics During Res...

...the time of hospital admission, HCP should pres...

...hen there are new clinical signs that a...

...der co-infection with other viruses, such as in...


...Microb...

...fore initiating antibiotics, HCP should attempt t...

...ould limit respiratory multiplex PCR t...

...ld restrict repeat microbiologic testing to...

...orm a nasal methicillin-resistant Sta...