Antimicrobial De-Escalation in the ICU: From Recommendations to Level of Evidence - CNRS - Centre national de la recherche scientifique Accéder directement au contenu
Article Dans Une Revue Advances in Therapy Année : 2020

Antimicrobial De-Escalation in the ICU: From Recommendations to Level of Evidence

Résumé

Antimicrobial de-escalation (ADE) is a component of antimicrobial stewardship (AMS) aimed to reduce exposure to broad-spectrum antimicrobials. In the intensive care unit, ADE is a strong recommendation that is moderately applied in clinical practice. Following a systematic review of the literature, we assessed the studies identified on the topic which included one randomized controlled trial and 20 observational studies. The literature shows a low level of evidence, although observational studies suggested that this procedure is safe. The effects of ADE on the level of resistance of ecological systems and especially on the microbiota are unclear. The reviewers recommend de-escalating antimicrobial treatment in patients requiring long-term antibiotic therapy and considering de-escalation in short-term treatments.

Dates et versions

hal-03149951 , version 1 (23-02-2021)

Identifiants

Citer

Ines Lakbar, Jan J. de Waele, Alexis Tabah, Sharon Einav, Ignacio Martin-Loeches, et al.. Antimicrobial De-Escalation in the ICU: From Recommendations to Level of Evidence. Advances in Therapy, 2020, 37 (7), pp.3083-3096. ⟨10.1007/s12325-020-01390-2⟩. ⟨hal-03149951⟩

Collections

CNRS UNIV-AMU
9 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More