The challenge of antimicrobial stewardship in pediatrics
Keywords:
Antimicrobials, antibiotics, Pediatrics.Abstract
Antibiotics are the most frequently prescribed drugs for children, both in hospital and community settings. The most important pending problems are the training of paediatricians, the creation of a multidisciplinary interprofessional antimicrobial stewardship team capable of developing guidelines, the monitoring of antibiotic prescription and the definition of corrective measures, as well as the availability of consensus. administrators with adequate financial support. The problem of optimizing the duration of prescription programs remains unresolved; it is unclear whether such programs should be sustained on an ongoing basis or instead can be implemented until rationalization of antibiotic use is obtained and restarted when significant variations in antibiotic use are needed.Downloads
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References
1. Araujo da Silva AR, Albernaz de Almeida Dias DC, Marques AF, Biscaia di Biase C, Murni IK, Dramowski A, et al. Role of antimicrobial stewardship programmes in children: a systematic review. J Hosp Infect [Internet]. 2018 [citado 22/08/2020];99(2):117-23. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28807835/
2. Tersigni C, Venturini E, Montagnani C, Chiappini E, de Martino M, Galli L. Antimicrobial stewardship in children: more shadows than lights? Expert Rev Anti Infect Ther [Internet]. 2019 [citado 22/08/2020];17(11):871-6. Disponible en: https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-016-1772-z
3. Barlam TF, Cosgrove SE, Abbo LM, MacDougall C, Schuetz AN, Septimus EJ, et al. Implementing an Antibiotic Stewardship Program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis [Internet]. 2016 [citado 22/08/2020]; 62(10):e51-77. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27080992/
4. Patel SV, Vergnano S. The impact of paediatric antimicrobial stewardship programmes on patient outcomes. Current Opinion in Infectious Diseases [Internet]. 2018 [citado 22/08/2020]; 31(3). Disponible en: https://journals.lww.com/co-infectiousdiseases/Fulltext/2018/06000/The_impact_of_paediatric_antimicrobial_stewardship.3.aspx
5. Goldman JL, Lee BR, Hersh AL, Yu D, Stach LM, Myers AL, et al. Clinical diagnoses and antimicrobials predictive of pediatric antimicrobial stewardship recommendations: a program evaluation. Infect Control Hosp Epidemiol [Internet]. 2015 [citado 22/08/2020]; 36(6):673-80. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25773192/
6. Principi N, Esposito S. Antimicrobial stewardship in paediatrics. BMC Infectious Diseases [Internet]. 2016 [citado 22/08/2020]; 16(1):424. Disponible en: https://doi.org/10.1186/s12879-016-1772-z
2. Tersigni C, Venturini E, Montagnani C, Chiappini E, de Martino M, Galli L. Antimicrobial stewardship in children: more shadows than lights? Expert Rev Anti Infect Ther [Internet]. 2019 [citado 22/08/2020];17(11):871-6. Disponible en: https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-016-1772-z
3. Barlam TF, Cosgrove SE, Abbo LM, MacDougall C, Schuetz AN, Septimus EJ, et al. Implementing an Antibiotic Stewardship Program: Guidelines by the Infectious Diseases Society of America and the Society for Healthcare Epidemiology of America. Clin Infect Dis [Internet]. 2016 [citado 22/08/2020]; 62(10):e51-77. Disponible en: https://pubmed.ncbi.nlm.nih.gov/27080992/
4. Patel SV, Vergnano S. The impact of paediatric antimicrobial stewardship programmes on patient outcomes. Current Opinion in Infectious Diseases [Internet]. 2018 [citado 22/08/2020]; 31(3). Disponible en: https://journals.lww.com/co-infectiousdiseases/Fulltext/2018/06000/The_impact_of_paediatric_antimicrobial_stewardship.3.aspx
5. Goldman JL, Lee BR, Hersh AL, Yu D, Stach LM, Myers AL, et al. Clinical diagnoses and antimicrobials predictive of pediatric antimicrobial stewardship recommendations: a program evaluation. Infect Control Hosp Epidemiol [Internet]. 2015 [citado 22/08/2020]; 36(6):673-80. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25773192/
6. Principi N, Esposito S. Antimicrobial stewardship in paediatrics. BMC Infectious Diseases [Internet]. 2016 [citado 22/08/2020]; 16(1):424. Disponible en: https://doi.org/10.1186/s12879-016-1772-z
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Published
2021-02-18
How to Cite
1.
Céspedes-Rómulo AM, Rodríguez-Portelles AC. The challenge of antimicrobial stewardship in pediatrics. Univ. Méd. Pinareña [Internet]. 2021 Feb. 18 [cited 2025 Apr. 18];18(3):e648. Available from: https://revgaleno.sld.cu/index.php/ump/article/view/648
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Section
Letter to the Editor