دورية أكاديمية
أعرض في EDS

Antifungal stewardship: developments in the field.

التفاصيل البيبلوغرافية
العنوان: Antifungal stewardship: developments in the field.
المؤلفون: Urbancic KF; National Centre for Infections in Cancer, Peter MacCallum Cancer Centre.; National Centre for Antimicrobial Stewardship.; Department of Medicine, University of Melbourne, Parkville.; Pharmacy Department, Austin Health, Heidelberg., Thursky K; National Centre for Infections in Cancer, Peter MacCallum Cancer Centre.; National Centre for Antimicrobial Stewardship.; Department of Medicine, University of Melbourne, Parkville.; Infectious Diseases Unit, Peter MacCallum Cancer Centre.; Victorian Infectious Diseases Service, The Peter Doherty Institute for Immunity and Infection, Royal Melbourne Hospital, Parkville., Kong DCM; National Centre for Antimicrobial Stewardship.; Pharmacy Department, Ballarat Health Services, Ballarat.; Centre for Medicine Use and Safety, Monash University, Parkville., Johnson PDR; Department of Medicine, University of Melbourne, Parkville.; Infectious Diseases Department, Austin Health, Heidelberg, Victoria, Australia., Slavin MA; National Centre for Infections in Cancer, Peter MacCallum Cancer Centre.; Department of Medicine, University of Melbourne, Parkville.; Infectious Diseases Unit, Peter MacCallum Cancer Centre.; Victorian Infectious Diseases Service, The Peter Doherty Institute for Immunity and Infection, Royal Melbourne Hospital, Parkville.
المصدر: Current opinion in infectious diseases [Curr Opin Infect Dis] 2018 Dec; Vol. 31 (6), pp. 490-498.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't; Review
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8809878 Publication Model: Print Cited Medium: Internet ISSN: 1473-6527 (Electronic) Linking ISSN: 09517375 NLM ISO Abbreviation: Curr Opin Infect Dis Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, Md. : Lippincott Williams & Wilkins
Original Publication: London, UK ; Philadelphia, PA : Gower Academic Journals, c1988-
مواضيع طبية MeSH: Antifungal Agents* , Antimicrobial Stewardship*, Invasive Fungal Infections/*drug therapy, Humans
مستخلص: Purpose of Review: To outline key drivers and components of antifungal stewardship (AFS) programmes, the evidence for specific interventions, and methods to assess performance of programmes.
Recent Findings: Recent developments in antifungal resistance and breakthrough invasive fungal diseases have increased the urgency for effective AFS. In practice, however, few hospitals have dedicated AFS programmes. To date, AFS programmes have centred around the provision of expert bedside reviews and have reduced costs and consumption of antifungal agents. Incorporating tools such as fungal diagnostics and therapeutic drug monitoring into AFS programme models is recommended. However, the application and impact of these tools in this context have not been adequately assessed. The effectiveness of AFS programmes has been measured in multiple ways but a standardized method of evaluation remains elusive. Few studies have explored the impact of AFS interventions on patient outcomes.
Summary: The uptake of formal AFS programmes has been slow. New initiatives integrating AFS tools in programmes, and measuring the impacts on patient outcomes are required given such data are not readily available. A comprehensive approach to evaluate AFS programmes by correlating the quantity and quality of antifungal prescribing with impacts on patient outcomes is needed. Consensus definitions for core AFS metrics are required to benchmark performance and are essential to the resourcing and sustainability of these programmes.
المشرفين على المادة: 0 (Antifungal Agents)
تواريخ الأحداث: Date Created: 20181010 Date Completed: 20191021 Latest Revision: 20191022
رمز التحديث: 20240628
DOI: 10.1097/QCO.0000000000000497
PMID: 30299362
قاعدة البيانات: MEDLINE
الوصف
تدمد:1473-6527
DOI:10.1097/QCO.0000000000000497