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2020 ; 22
(9
): 23
Nephropedia Template TP
gab.com Text
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English Wikipedia
Antimicrobial Stewardship at the Core of COVID-19 Response Efforts: Implications
for Sustaining and Building Programs
#MMPMID32834785
Mazdeyasna H
; Nori P
; Patel P
; Doll M
; Godbout E
; Lee K
; Noda AJ
; Bearman G
; Stevens MP
Curr Infect Dis Rep
2020[]; 22
(9
): 23
PMID32834785
show ga
We describe traditional antimicrobial stewardship program (ASP) activities with a
discussion of how these activities can be refocused in the setting of the
COVID-19 pandemic. Additionally, we discuss possible adverse consequences of ASP
attention diversion on COVID-19 response efforts and overall implications for
future pandemic planning. We also discuss ASP in collaboration with other groups
within health systems and how COVID-19 may affect these relationships long term.
Despite the paucity of literature on Antimicrobial Stewardship and COVID-19, the
potential contributions of ASPs during a pandemic are numerous. ASPs can develop
strategies to identify patients with COVID-19-like-illness; this is particularly
useful when these patients are missed at the time of health system entry. ASPs
can also play a critical role in the management of potential drug shortages,
developing local treatment guidelines, optimizing the use of antibiotics, and in
the diagnostic stewardship of COVID-19 testing, among other roles. Importantly,
it is often difficult to ascertain whether critically ill patients who are
hospitalized with COVID-19 have concurrent or secondary bacterial infections-ASPs
are ideally situated to help optimize antimicrobial use for these patients via a
variety of mechanisms. ASPs are uniquely positioned to aid in pandemic response
planning and relief efforts. ASPs are already integrated into health systems and
play a key role in optimizing antimicrobial prescribing. As ASPs assist in
COVID-19 response, understanding the role of ASPs in pandemic relief efforts may
mitigate damage from future outbreaks.