Can precision antibiotic prescribing help prevent the spread of carbapenem-resistant organisms in the hospital setting?



Vasikasin, Vasin, Rawson, Timothy M ORCID: 0000-0002-2630-9722, Holmes, Alison H ORCID: 0000-0001-5554-5743 and Otter, Jonathan
(2023) Can precision antibiotic prescribing help prevent the spread of carbapenem-resistant organisms in the hospital setting? JAC-ANTIMICROBIAL RESISTANCE, 5 (2). dlad036-. ISSN 2632-1823, 2632-1823

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Abstract

The emergence of carbapenem-resistant organisms (CROs) is a significant global threat. Reduction of carbapenem consumption can decrease CROs. In the global endemic era of ESBL-producing bacteria, carbapenems are considered the treatment of choice, leading to challenge in limiting carbapenem use. This review describes the role of precision prescribing for prevention of CROs. This involves improving antibiotic selection, dosing and shortening duration. The effect of different antibiotics, dosing and duration on CRO development are explored. Available options for precision prescribing, gaps in the scientific evidence, and areas for future research are also presented.

Item Type: Article
Uncontrolled Keywords: 3207 Medical Microbiology, 32 Biomedical and Clinical Sciences, Prevention, Antimicrobial Resistance, Infectious Diseases, Infection
Divisions: Faculty of Health & Life Sciences
Faculty of Health & Life Sciences > Inst. Systems, Molec & Integrative Biology > Inst. Systems, Molec & Integrative Biology
Depositing User: Symplectic Admin
Date Deposited: 29 Sep 2023 09:10
Last Modified: 16 Jan 2026 10:35
DOI: 10.1093/jacamr/dlad036
Open Access URL: https://doi.org/10.1093/jacamr/dlad036
Related Websites:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3173188
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