Impact of a clinical microbiology–intensive care consulting program in a cardiothoracic intensive care unit

The impact of antimicrobial stewardship program designed to shorten antibiotics use on the incidence of resistant bacterial infections and mortality

“…ASP implementation may require flexibility among different sizes and types of hospital 4 . Indeed, ASPs targeted towards specific pathogens or infections and specialized environments or hospital settings have been proposed [7][8][9][10] ; however, in most countries worldwide, legislation forcing health care providers to optimize their use of antimicrobial therapy has not yet been enacted [11][12][13][14] . In Taiwan, ASPs have also been implemented in several settings [15][16][17][18][19] .…”

A microbiologist consultant should attend daily ICU rounds

“…Despite the presence of the microbiologist in ICU is frequently advocated [5], and studies have reported on improved antimicrobial practices after establishing a more closer interaction between clinicians and microbiologists in before-after studies in single-center studies [6], no study has formally demonstrated the superiority of a strategy with a microbiologist in daily rounds compared to different types of "liaisons" in ICU, nor in other settings. Furthermore, the systematic review by Lane et al [7], which explored facilitators and barriers for patients care round in ICU, did not identify the "microbiologist" (but the pharmacist instead!)…”