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Can precision antibiotic prescribing help prevent the spread of carbapenem-resistant organisms in the hospital setting?

Medicine and Health

Can precision antibiotic prescribing help prevent the spread of carbapenem-resistant organisms in the hospital setting?

V. Vasikasin, T. M. Rawson, et al.

Discover how precision prescribing could be the key to combating the global threat of carbapenem-resistant organisms (CROs). This insightful review, conducted by Vasin Vasikasin, Timothy M Rawson, Alison H Holmes, and Jonathan Otter, delves into antibiotic selection, dosing, and duration to prevent CROs.

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~3 min • Beginner • English
Abstract
The emergence of carbapenem-resistant organisms (CROs) is a significant global threat. Reduction of carbapenem consumption can decrease CROs. In the global endemic era of ESBL-producing bacteria, carbapenems are considered the treatment of choice, leading to challenge in limiting carbapenem use. This review describes the role of precision prescribing for prevention of CROs. This involves improving antibiotic selection, dosing and shortening duration. The effect of different antibiotics, dosing and duration on CRO development are explored. Available options for precision prescribing, gaps in the scientific evidence, and areas for future research are also presented.
Publisher
JAC- Antimicrobial Resistance
Published On
Jan 01, 2023
Authors
Vasin Vasikasin, Timothy M Rawson, Alison H Holmes, Jonathan Otter
DOI
https://doi.org/https://doi.org/10.1093/jacamr/dlad036
Tags
carbapenem-resistant organisms
precision prescribing
antibiotic selection
dosing
duration
research gaps
future studies

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