Publication: Perceived differences between intensivists and infectious diseases consultants facing antimicrobial resistance: a global cross-sectional survey
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Date
2019-07-01T00:00:00Z
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Rello, Jordi
Eshwara, Vandana Kalwaje
Conway-Morris, Andrew
Lagunes, Leonel
Alves, Joana
Alp, Emine
Zhang, Zhongheng
Mer, Mervyn
Luna, C. M.
Reina, R.
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Abstract
To identify differences in perception on multi-drug-resistant (MDR) organisms and their management at intensive care units (ICU). A cross-sectional survey was conducted. A proposal addressing a pathogen priority list (PPL) for ICU, arising from the TOTEM study, was compared with a sample of global experts in infections in critically ill patients. The survey was responded by 129 experts. Globally, ESBL Enterobacteriaceae, followed by carbapenem-resistant Acinetobacter baumannii and carbapenem-resistant Klebsiella pneumoniae, were the main concerns. Some differences in opinion were identified between 63 (49%) ICU physicians (ICU/anesthesiology) and 43 (33%) infectious disease consultants (ID physicians/microbiologists). The pathogens most concerning in the ICU for intensivists were ESBL Enterobacteriaceae (38%) versus carbapenem-resistant A. baumannii (48.3%) for ID consultants, (p70%) regarding emerging resistance. Differences in priorities regarding organisms, infection control practices, and educational priorities were visualized between ID/clinical microbiologists and ICU/anesthesiologists. Multi-disciplinary collaboration is required to achieve best care for ICU patients with severe infections.
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Rello J., Eshwara V. K. , Conway-Morris A., Lagunes L., Alves J., Alp E., Zhang Z., Mer M., Luna C. M. , Reina R., et al., -Perceived differences between intensivists and infectious diseases consultants facing antimicrobial resistance: a global cross-sectional survey-, EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, cilt.38, ss.1235-1240, 2019