Loading...
In intensive care units (ICUs), many patients receive antibiotics, sometimes despite low likelihood of infection. Several previous reports have suggested that unnecessary antibiotic use may lead to superinfection, selection of resistant pathogens, and — eventually — worse outcomes. But what is the effect of daily in-person counseling or prompting on the optimization of antibiotic therapy in critically ill medical patients? Two recent studies conducted in U.S. hospitals addressed this issue.
Rimawi and coworkers prospectively compared antibiotic use during a 3-month pre-intervention period (July–September 2011) with that during a 3-month intervention period (July–September 2012) in which an infectious diseases (ID) specialist made daily visit…