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

...mendations...

...d limit initiation of antibiotics — partic...


...gnostic Testing

...form inflammatory marker tests at b...

...P should repeat laboratory testing on...

...P can monitor CRP if clinically indicat...

...hould not use inflammatory markers...

...obtain bacterial cultures or respiratory mul...


...During Respiratory Viral Pandemics and...

If treated at the time of hospital admi...

...ere are new clinical signs that are c...

...ay consider co-infection with other viruses, suc...


...obiologic and Radiographic Diagnostic Tests

...initiating antibiotics, HCP should attempt...

...ld limit respiratory multiplex PCR tests to...

...P should restrict repeat microbiologic testi...

...should perform a nasal methicillin-resista...