Challenges and Opportunities in Antimicrobial Stewardship among Hematopoietic Stem Cell Transplant and Oncology Patients

被引:6
|
作者
Majumdar, Anjali [1 ]
Shah, Mansi R. [2 ]
Park, Jiyeon J. [3 ]
Narayanan, Navaneeth [1 ,4 ]
Kaye, Keith S. [1 ]
Bhatt, Pinki J. [1 ,4 ]
机构
[1] Rutgers Robert Wood Johnson Med Sch, Dept Med, Div Allergy & Infect Dis, New Brunswick, NJ 08901 USA
[2] Rutgers Canc Inst New Jersey, Div Blood Disorders, New Brunswick, NJ 08901 USA
[3] Englewood Hlth, Englewood, NJ 07631 USA
[4] Rutgers Ernest Mario Sch Pharm, Piscataway, NJ 08854 USA
来源
ANTIBIOTICS-BASEL | 2023年 / 12卷 / 03期
关键词
antimicrobial stewardship; antibacterial prophylaxis; hematopoietic stem cell transplant; hematologic malignancy; CLOSTRIDIOIDES-DIFFICILE INFECTION; EMPIRICAL ANTIBACTERIAL THERAPY; VERSUS-HOST-DISEASE; AMERICAN SOCIETY; ANTIFUNGAL STEWARDSHIP; NEUTROPENIC PATIENTS; DRUG-INTERACTIONS; PERIPHERAL-BLOOD; BONE-MARROW; FEBRILE NEUTROPENIA;
D O I
10.3390/antibiotics12030592
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Antimicrobial stewardship programs play a critical role in optimizing the use of antimicrobials against pathogens in the era of growing multi-drug resistance. However, implementation of antimicrobial stewardship programs among the hematopoietic stem cell transplant and oncology populations has posed challenges due to multiple risk factors in the host populations and the infections that affect them. The consideration of underlying immunosuppression and a higher risk for poor outcomes have shaped therapeutic decisions for these patients. In this multidisciplinary perspective piece, we provide a summary of the current landscape of antimicrobial stewardship, unique challenges, and opportunities for unmet needs in these patient populations.
引用
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页数:15
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