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Articles Published Processes
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Received |
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2014-10-08 08:47 |
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Peer-Review Started |
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2014-10-08 18:02 |
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To Make the First Decision |
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2014-11-14 19:49 |
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Return for Revision |
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2014-11-19 17:12 |
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Revised |
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2014-11-21 15:07 |
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Second Decision |
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2014-12-11 17:25 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Company Editor-in-Chief |
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2014-12-17 16:13 |
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Articles in Press |
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2014-12-17 16:14 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2015-02-05 17:48 |
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Publish the Manuscript Online |
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2015-02-11 18:50 |
ISSN |
2220-3141(online) |
Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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Copyright |
© The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
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Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Infectious Diseases |
Manuscript Type |
Review |
Article Title |
Antibiotic stewardship programmes in intensive care units: Why, how, and where are they leading us
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Manuscript Source |
Invited Manuscript |
All Author List |
Yu-Zhi Zhang and Suveer Singh |
Funding Agency and Grant Number |
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Corresponding Author |
Dr. Suveer Singh, BSc, MBBS, PhD, EDIC, DICM, FFICM, FRCP, Departments of Intensive Care and Respiratory Medicine, Chelsea and Westminster Hospital, 369 Fulham Rd, London SW10 9NH,
United Kingdom. suveer.singh@imperial.ac.uk
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Key Words |
Antibiotic stewardship programme; Intensive care; Antimicrobial resistance; Antibacterial resistance; Antibiotic resistance |
Core Tip |
Antibiotic stewardship programmes (ASPs) aim to optimise appropriate antibiotic treatment and minimise antimicrobial resistance (AMR). Multistrategic approaches must address challenges to future management of infectious disease. Models of ASP in intensive care unit, include “standard” control of antibiotic prescribing (e.g.,”de-escalation strategies”) through to interventional approaches utilising biomarker-guided decisions. Protocolised ASPs using procalcitonin guided antibiotic-stop but not antibiotic-start alone decisions demonstrate reduced antibiotic and AMR rates, but not survival benefit. Immediate research needs include better AMR surveillance, early microbial diagnostic tests, and core transferable elements of ASPs.
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Publish Date |
2015-02-11 18:50 |
Citation |
Zhang YZ, Singh S. Antibiotic stewardship programmes in intensive care units: Why, how, and where are they leading us? World J Crit Care Med 2015; 4(1): 13-28 |
URL |
http://www.wjgnet.com/2220-3141/full/v4/i1/13.htm |
DOI |
http://dx.doi.org/10.5492/wjccm.v4.i1.13 |
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