Antimicrobial Stewardship in the Emergency Department

Michael Pulia, Robert Redwood, Larissa S May

Research output: Contribution to journalReview article

2 Scopus citations

Abstract

The emergency department (ED) is the hub of the US health care system. Acute infectious diseases are frequently encountered in the ED setting, making this a critical setting for antimicrobial stewardship efforts. Systems level and behavioral stewardship interventions have demonstrated success in the ED setting but successful implementation depends on institutional support and the presence of a physician champion. Antimicrobial stewardship efforts in the ED should target high-impact areas: antibiotic prescribing for nonindicated respiratory tract conditions, such as bronchitis and sinusitis; overtreatment of asymptomatic bacteriuria; and using two antibiotics (double coverage) for uncomplicated cases of cellulitis or abscess.

Original languageEnglish (US)
Pages (from-to)853-872
Number of pages20
JournalEmergency Medicine Clinics of North America
Volume36
Issue number4
DOIs
StatePublished - Nov 1 2018

Keywords

  • Antibiotics
  • Antimicrobial stewardship
  • Emergency department
  • Infectious diseases
  • Quality improvement

ASJC Scopus subject areas

  • Emergency Medicine

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