Antimicrobial Stewardship Programs: A Review of Strategies to Avoid Polymyxins and Carbapenems Misuse in Low Middle-Income Countries

Antibiotics misuse and overuse are concerning issues worldwide, especially in low middle-income countries. These practices contribute to the increasing rates of antimicrobial resistance. One efficient strategy to avoid them is antimicrobial stewardship programs. In this review, we focus on the possi...

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Autores principales: de Carvalho, Fabrício Rodrigues Torres, Telles, João Paulo, Tuon, Felipe Francisco Bodan, Rabello Filho, Roberto, Caruso, Pedro, Correa, Thiago Domingos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8944697/
https://www.ncbi.nlm.nih.gov/pubmed/35326841
http://dx.doi.org/10.3390/antibiotics11030378
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author de Carvalho, Fabrício Rodrigues Torres
Telles, João Paulo
Tuon, Felipe Francisco Bodan
Rabello Filho, Roberto
Caruso, Pedro
Correa, Thiago Domingos
author_facet de Carvalho, Fabrício Rodrigues Torres
Telles, João Paulo
Tuon, Felipe Francisco Bodan
Rabello Filho, Roberto
Caruso, Pedro
Correa, Thiago Domingos
author_sort de Carvalho, Fabrício Rodrigues Torres
collection PubMed
description Antibiotics misuse and overuse are concerning issues worldwide, especially in low middle-income countries. These practices contribute to the increasing rates of antimicrobial resistance. One efficient strategy to avoid them is antimicrobial stewardship programs. In this review, we focus on the possible approaches to spare the prescription of polymyxins and carbapenems for the treatment of Acinetobacter baumannii, carbapenem-resistant Enterobacterales, and Pseudomonas aeruginosas infections. Additionally, we highlight how to implement cumulative antibiograms and biomarkers to a sooner de-escalation of antibiotics.
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spelling pubmed-89446972022-03-25 Antimicrobial Stewardship Programs: A Review of Strategies to Avoid Polymyxins and Carbapenems Misuse in Low Middle-Income Countries de Carvalho, Fabrício Rodrigues Torres Telles, João Paulo Tuon, Felipe Francisco Bodan Rabello Filho, Roberto Caruso, Pedro Correa, Thiago Domingos Antibiotics (Basel) Review Antibiotics misuse and overuse are concerning issues worldwide, especially in low middle-income countries. These practices contribute to the increasing rates of antimicrobial resistance. One efficient strategy to avoid them is antimicrobial stewardship programs. In this review, we focus on the possible approaches to spare the prescription of polymyxins and carbapenems for the treatment of Acinetobacter baumannii, carbapenem-resistant Enterobacterales, and Pseudomonas aeruginosas infections. Additionally, we highlight how to implement cumulative antibiograms and biomarkers to a sooner de-escalation of antibiotics. MDPI 2022-03-12 /pmc/articles/PMC8944697/ /pubmed/35326841 http://dx.doi.org/10.3390/antibiotics11030378 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
de Carvalho, Fabrício Rodrigues Torres
Telles, João Paulo
Tuon, Felipe Francisco Bodan
Rabello Filho, Roberto
Caruso, Pedro
Correa, Thiago Domingos
Antimicrobial Stewardship Programs: A Review of Strategies to Avoid Polymyxins and Carbapenems Misuse in Low Middle-Income Countries
title Antimicrobial Stewardship Programs: A Review of Strategies to Avoid Polymyxins and Carbapenems Misuse in Low Middle-Income Countries
title_full Antimicrobial Stewardship Programs: A Review of Strategies to Avoid Polymyxins and Carbapenems Misuse in Low Middle-Income Countries
title_fullStr Antimicrobial Stewardship Programs: A Review of Strategies to Avoid Polymyxins and Carbapenems Misuse in Low Middle-Income Countries
title_full_unstemmed Antimicrobial Stewardship Programs: A Review of Strategies to Avoid Polymyxins and Carbapenems Misuse in Low Middle-Income Countries
title_short Antimicrobial Stewardship Programs: A Review of Strategies to Avoid Polymyxins and Carbapenems Misuse in Low Middle-Income Countries
title_sort antimicrobial stewardship programs: a review of strategies to avoid polymyxins and carbapenems misuse in low middle-income countries
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8944697/
https://www.ncbi.nlm.nih.gov/pubmed/35326841
http://dx.doi.org/10.3390/antibiotics11030378
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