Journals / Anestezi Dergisi / 2019 / Cilt: 27 - Sayı: 2

Prophylactic Use of Antibiotics in the Intensive Care Unit

Yoğun Bakım Ünitesinde Profilaktik Antibiyotik Kullanımı

Pages
87–93
Publication Date
2022-10-10
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This review tends to summarize all the topicsregarding the prophylactic use of antibiotics, prevention of infections in intensive care units, andminimizing the resistance.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Infections during the intensive care treatment present a great continuous challenge to the physicians and to the patients.
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Key Findings & Data:These infections can significantly increase the morbidity and mortality.One of the major issues to be addressed is the prophylactic use of antibiotics in intensive careunits.
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Conclusion & Impact:This review tends to summarize all the topicsregarding the prophylactic use of antibiotics, prevention of infections in intensive care units, andminimizing the resistance.
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Infections during the intensive care treatment present a great continuous challenge to the physicians and to the patients. These infections can significantly increase the morbidity and mortality.One of the major issues to be addressed is the prophylactic use of antibiotics in intensive careunits. The importance of infection prevention in critically ill patients is therefore based on itspotential to reduce both morbidity and mortality. The relationship between this reduction and theprevention of the development of resistance remains unclear. The infections can also affect treatment costs, hospital stay, and patients’ prognosis. This review tends to summarize all the topicsregarding the prophylactic use of antibiotics, prevention of infections in intensive care units, andminimizing the resistance.

Özet

Yoğun bakım tedavisi sırasındaki enfeksiyonlar, hekimlere ve hastalara aşılması gereken bir sorun teşkil edegelmiştir. Bu enfeksiyonlar morbidite ve mortalite oranlarını önemli ölçüde artırabilir. Ele alınacak ana konulardan biri, yoğun bakım ünitelerinde antibiyotiklerin profilaktik kullanımıdır. Kritik hastalarda enfeksiyonun engellenmesinin önemi hem morbidite hem de mortaliteyi azaltma potansiyeline dayanmaktadır. Bu azalma ile direnç gelişiminin önlenmesi arasındaki ilişki net değildir. Enfeksiyonlar ayrıca tedavi masraflarını, hastanede kalış süresini ve hastaların prognozunu etkileyebilir. Bu derlemenin amacı, profilaktik antibiyotik kullanımı, yoğun bakım ünitelerinde enfeksiyonların önlenmesi ve antibiyotik direncini en aza indirgeme hususundaki konuları özetlemektir.

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Cite This Article

SULA, H., DOMI, R. (2022). Prophylactic Use of Antibiotics in the Intensive Care Unit. Anestezi Dergisi, Cilt: 27 - Sayı: 2, 87–93. https://ajindex.com/articles/440487

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References (9)

  1. Leuthner KD, Doern GV. Antimicrobial stewardship programs. J Clin Microbiol. 2013;51:3916-20. https://doi.org/10.1128/JCM.01751-13
  2. Duclos G, Pastene B, Depeyre F, Meresse Z, Cassir N, Martin-Loeches I, Einav S, Zieleskiewicz L, Leone M. Surgical antimicrobial prophylaxis in intensive care unit (ICU) patients: a preliminary, observational, retrospective study. Ann Transl Med. 2018;6:402. https://doi.org/10.21037/atm.2018.09.56
  3. Kollef MH, Bassetti M, Francois B, Burnham J, Dimopoulos G, Garnacho-MonteroJ, et al. The intensive care medicine research agenda on multidrugresistant bacteria, antibiotics, and stewardship. Intensive Care Med. 2017;43:1187-97. https://doi.org/10.1007/s00134-017-4682-7
  4. Luyt CE, Bréchot N, Trouillet JL, Chastre J. Antibiotic stewardship in the intensive care unit. Crit Care. 2014;18:480. https://doi.org/10.1186/s13054-014-0480-6
  5. Bassetti M, Poulakou G, Timsit JF. Focus on antimicrobial use in the era of increasing antimicrobial resistance in ICU. Intensive Care Med. 2016;42:955-8. https://doi.org/10.1007/s00134-016-4341-4
  6. Aarts MA, Brun-Buisson C, Cook DJ, Kumar A, Opal S, Rocker G, et al. Antibiotic management of suspected nosocomial ICU-acquired infection: does prolonged empiric therapy improve outcome? Intensive Care Med. 2007;8:1369-78. https://doi.org/10.1007/s00134-007-0723-y
  7. Dyar OJ, Huttner B, Schouten J, Pulcini C, ESGAP (ESCMID Study Group for Antimicrobial stewardship). What is antimicrobial stewardship? Clin Microbiol Infect. 2017;23:793-8. https://doi.org/10.1016/j.cmi.2017.08.026 Morris AM. Antimicrobial stewardship programs: appropriate measures and metrics to study their impact. Curr Treat Options Infect Dis. 2014;6:101-12. https://doi.org/10.1007/s40506-014-0015-3 de Almeida S, Alexandre R, Wey SB, Victor Eda S, Dos Santos OF, Edmond MB. Implementation of an antibiotic prophylaxis protocol in an intensive care unit. Am J of Infect Control. 2012;40:721-5. https://doi.org/10.1016/j.ajic.2011.09.018
  8. Johansen N, Hahn Ch. Prophylactic antibiotics at the time of tracheotomy lowers the incidence of pneumonia Dan Med J. 2015;62:A5107. Sole ML, Talbert S, Penover DA, Bennett M, Sokol S, Wilson J. Comparison of respiratory infections before and after percutaneous tracheostomy. Am J Crit Care. 2014;23:e80-7. https://doi.org/10.4037/ajcc2014232
  9. Apostolopoulou E, Bakakos P, Katostaras T, Gregorakos L. Incidence and risk factors for ventilator-associated pneumonia in 4 multidisciplinary intensive care units in Athens, Greece. Respi