Skip to main content
Top
Published in: Internal and Emergency Medicine 8/2018

01-12-2018 | IM - COMMENTARY

Reducing carbapenem prescribing in high-use settings: it is possible, and it is good to talk

Author: Nicola Jane Fawcett

Published in: Internal and Emergency Medicine | Issue 8/2018

Login to get access

Excerpt

The importance of reducing unnecessary use of antibiotics, especially our ‘last line’ agents, cannot be overstated. Higher use of carbapenems at a country and institutional level has been shown to correlate with higher rates of resistance [1], and carbapenem use at a patient level is associated with risk of resistant infection [2]. Yet overuse of these crucial antibiotics is widespread. Changing, and reducing, antibiotic use has proved a major challenge, so success stories are welcome. …
Literature
1.
go back to reference McLaughlin M, Advincula MR, Malczynski M, Qi C, Bolon M, Scheetz MH (2013) Correlations of antibiotic use and carbapenem resistance in enterobacteriaceae. Antimicrob Agents Chemother 57:5131–5133CrossRef McLaughlin M, Advincula MR, Malczynski M, Qi C, Bolon M, Scheetz MH (2013) Correlations of antibiotic use and carbapenem resistance in enterobacteriaceae. Antimicrob Agents Chemother 57:5131–5133CrossRef
2.
go back to reference Falagas ME, Rafailidis PI, Kofteridis D et al (2007) Risk factors of carbapenem-resistant Klebsiella pneumoniae infections: a matched case control study. J Antimicrob Chemother 60:1124–1130CrossRef Falagas ME, Rafailidis PI, Kofteridis D et al (2007) Risk factors of carbapenem-resistant Klebsiella pneumoniae infections: a matched case control study. J Antimicrob Chemother 60:1124–1130CrossRef
3.
go back to reference Fortini A, Faraone A, Di Pietro M et al (2018) Antimicrobial stewardship in an Internal Medicine ward: effects on antibiotic consumption and on the use of carbapenems. Intern Emerg Med Fortini A, Faraone A, Di Pietro M et al (2018) Antimicrobial stewardship in an Internal Medicine ward: effects on antibiotic consumption and on the use of carbapenems. Intern Emerg Med
4.
go back to reference Davey P, Marwick CA, Scott CL et al (2017) Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database Syst Rev 2:CD003543PubMed Davey P, Marwick CA, Scott CL et al (2017) Interventions to improve antibiotic prescribing practices for hospital inpatients. Cochrane Database Syst Rev 2:CD003543PubMed
Metadata
Title
Reducing carbapenem prescribing in high-use settings: it is possible, and it is good to talk
Author
Nicola Jane Fawcett
Publication date
01-12-2018
Publisher
Springer International Publishing
Published in
Internal and Emergency Medicine / Issue 8/2018
Print ISSN: 1828-0447
Electronic ISSN: 1970-9366
DOI
https://doi.org/10.1007/s11739-018-1959-y

Other articles of this Issue 8/2018

Internal and Emergency Medicine 8/2018 Go to the issue