Antimicrobial Stewardship in Cystic Fibrosis.
J Pediatric Infect Dis Soc
; 11(Supplement_2): S53-S61, 2022 Sep 07.
Article
in En
| MEDLINE
| ID: mdl-36069899
ABSTRACT
The chronic airway infection and inflammation characteristic of cystic fibrosis (CF) ultimately leads to progressive lung disease, the primary cause of death in persons with CF (pwCF). Despite many recent advances in CF clinical care, efforts to preserve lung function in many pwCF still necessitate frequent antimicrobial use. Incorporating antimicrobial stewardship (AMS) principles into management of pulmonary exacerbations (PEx) would facilitate development of best practices for antimicrobial utilization at CF care centers. However, AMS can be challenging in CF given the unique aspects of chronic, polymicrobial infection in the CF airways, lack of evidence-based guidelines for managing PEx, limited utility for antimicrobial susceptibility testing, and increased frequency of adverse drug events in pwCF. This article describes current evidence-based antimicrobial treatment strategies for pwCF, highlights the potential for AMS to beneficially impact CF care, and provides practical strategies for integrating AMS programs into the management of PEx in pwCF.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cystic Fibrosis
/
Antimicrobial Stewardship
Type of study:
Guideline
Limits:
Humans
Language:
En
Journal:
J Pediatric Infect Dis Soc
Year:
2022
Document type:
Article
Affiliation country: