title: Strategic alliance between the infectious diseases specialist and intensive care unit physician for change in antibiotic use.
abstract: There is a general consensus that antimicrobial use in intensive care units (ICU) is greater than that in general wards. By implementing a strategy of systematic infectious disease consultations in agreement with the ICU chief, we have modified the antibiotic prescription habits of the ICU physician. A reduction was observed in the use of selected antibiotics (third-generation cephalosporins, vancomycin, carbapenems and piperacillin-tazobactam), with a significant reduction in the length of hospital stay for ICU patients and lower antibiotic costs without negative impact on patient mortality. Leadership by the infectious diseases consultant in combination with commitment by ICU physicians is a simple and effective method to change antibiotic prescription habits in the ICU.
authors.affiliation: Infectious Diseases Service, Sanatorio Güemes, Buenos Aires, Argentina. djcurcio@aconectarse.com
authors.forename: D
authors.initials: D
authors.lastname: Curcio
authors.forename: R
authors.initials: R
authors.lastname: Belloni
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000188:drug therapy* / Q000191:economics / Q000382:microbiology; D004352:Drug Resistance, Microbial; D004363:Drug Utilization; D006801:Humans; D017053:Infection Control; D016357:Infection Control Practitioners; D007362:Intensive Care Units; D007902:Length of Stay; D010818:Practice Patterns, Physicians'; D012017:Referral and Consultation; D012189:Retrospective Studies
chemical_list: D000900:Anti-Bacterial Agents