Publication Name	World Journal of Gastroenterology
Manuscript ID	118868
Country	Italy

Category	Gastroenterology & Hepatology
Manuscript Type	Letter to the Editor
Article Title	From antibiotic exposure to antibiotic intensity: Rethinking inpatient stewardship in inflammatory bowel disease
Manuscript Source	Invited Manuscript
All Author List	Marco Fiore
Funding Agency and Grant Number
Corresponding Author	Marco Fiore, Lecturer, MD, Professor, Department of Women, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”, Piazza Miraglia 2, Naples 80138, Italy. marco.fiore@unicampania.it
Key Words	Inflammatory bowel disease; Antibiotic stewardship; Antibiotic consumption; Antimicrobial resistance; Inpatients; Last-resort antibiotics
Core Tip	Although fewer hospitalized patients with inflammatory bowel disease now receive antibiotics, those treated are exposed to increasingly intensive regimens, with a growing use of broad-spectrum and last-resort agents. This disconnect between exposure prevalence and antibiotic consumption intensity challenges traditional stewardship metrics. An inflammatory bowel disease-tailored inpatient stewardship framework focused on antibiotic intensity, escalation patterns, and indication-specific use, with measurable process and outcome indicators, is urgently needed to preserve antimicrobial effectiveness while safeguarding patient outcomes.
Citation	Fiore M. From antibiotic exposure to antibiotic intensity: Rethinking inpatient stewardship in inflammatory bowel disease. World J Gastroenterol 2026; In press

Received	2026-01-13 06:06
Peer-Review Started	2026-01-13 06:08
First Decision by Editorial Office Director	2026-01-29 09:21
Return for Revision	2026-01-29 09:21
Revised	2026-02-11 21:28
Publication Fee Transferred
Second Decision by Editor	2026-03-03 02:40
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-03-03 07:17
Articles in Press	2026-03-03 07:17
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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