State of the Art of Antimicrobial and Diagnostic Stewardship in Pediatric Setting DOI Creative Commons
Daniele Donà, Elisa Barbieri, Giulia Brigadoi

и другие.

Antibiotics, Год журнала: 2025, Номер 14(2), С. 132 - 132

Опубликована: Янв. 27, 2025

Antimicrobial stewardship programs (ASPs) and diagnostic (DSPs) are essential strategies for effectively managing infectious diseases tackling antimicrobial resistance (AMR). These can have a complementary impact, i.e., ASPs optimize use to prevent resistance, while DSPs enhance accuracy guide appropriate treatments. This review explores the current landscape of in pediatric care, focusing on key factors, influencing their development, implementation, evaluation across various settings. A multidisciplinary approach is necessary, involving multiple healthcare professionals support comprehensive practices care. No single intervention suits all settings, or even same setting, different countries; interventions must be tailored each specific context, considering factors such as hospital capacity, patient complexity, parent–child dynamic. It educate caregivers optimal antibiotic through clear, concise messages adapted socioeconomic status level understanding. The cost-effectiveness should also assessed, standardized metrics employed evaluate success outcomes beyond just consumption, AMR rates. manuscript further discusses emerging opportunities challenges ASP offering insights into future research priorities. include large-scale studies long-term impact ASPs, assessments pediatric-specific tools, integration artificial intelligence clinical decision making. Addressing these areas will effectiveness sustainability contributing global efforts combat improve health outcomes.

Язык: Английский

Antimicrobial Stewardship Programs in Pediatric Intensive Care Units: A Systematic Scoping Review DOI Creative Commons
Cecilia Liberati, Giulia Brigadoi, Elisa Barbieri

и другие.

Antibiotics, Год журнала: 2025, Номер 14(2), С. 130 - 130

Опубликована: Янв. 26, 2025

Objectives: We aimed to summarize the current state of antimicrobial stewardship (ASP) and diagnostic programs (DSPs) implemented in pediatric intensive care units (PICUs). Methods: Embase, MEDLINE, Scopus Cochrane Library were searched, including studies from 1 January 2007 20 February 2024. Studies included review if they assessed implementation an ASP or a DSP PICU. Identified references downloaded into Rayyan software, data extracted using standardized collection form. Results: 18 included; 13 described intervention, 5 intervention. Most retrospective adopted persuasive strategy for ASP, reporting positive effects on consumption. However, dramatically heterogeneous terms intervention type, outcomes metrics used, limiting possibility broader comparison. Diagnostic mainly impact biomarkers pathogen testing panels without significant antibiotic prescription patterns. Antimicrobial resistance changes not by majority studies. Conclusions: PICUs is still limited, with variability used evaluate outcomes. To enhance effectiveness these programs, it crucial harmonize allow adequate comparison results find best strategies inform PICUs.

Язык: Английский

Процитировано

0
State of the Art of Antimicrobial and Diagnostic Stewardship in Pediatric Setting DOI Creative Commons
Daniele Donà, Elisa Barbieri, Giulia Brigadoi

и другие.

Antibiotics, Год журнала: 2025, Номер 14(2), С. 132 - 132

Опубликована: Янв. 27, 2025

Antimicrobial stewardship programs (ASPs) and diagnostic (DSPs) are essential strategies for effectively managing infectious diseases tackling antimicrobial resistance (AMR). These can have a complementary impact, i.e., ASPs optimize use to prevent resistance, while DSPs enhance accuracy guide appropriate treatments. This review explores the current landscape of in pediatric care, focusing on key factors, influencing their development, implementation, evaluation across various settings. A multidisciplinary approach is necessary, involving multiple healthcare professionals support comprehensive practices care. No single intervention suits all settings, or even same setting, different countries; interventions must be tailored each specific context, considering factors such as hospital capacity, patient complexity, parent–child dynamic. It educate caregivers optimal antibiotic through clear, concise messages adapted socioeconomic status level understanding. The cost-effectiveness should also assessed, standardized metrics employed evaluate success outcomes beyond just consumption, AMR rates. manuscript further discusses emerging opportunities challenges ASP offering insights into future research priorities. include large-scale studies long-term impact ASPs, assessments pediatric-specific tools, integration artificial intelligence clinical decision making. Addressing these areas will effectiveness sustainability contributing global efforts combat improve health outcomes.

Язык: Английский

Процитировано

0