Reduction of Antimicrobial Resistance and Limiting Use of Antibiotics by the Application of De-escalation and Streamlining: A Review Update

Authors

  • Ritu Saha Assistant Professor, Department of Microbiology, Bashundhara Ad-din Medical college, Dhaka, Bangladesh
  • Bhuiyan Mohammad Mahtab Uddin Assistant Professor, Department of Microbiology, Enam Medical College, Savar, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jninb.v6i2.50782

Keywords:

De-escalation; Streamlining; Antibiotic stewardship program; Antimicrobial resistance

Abstract

De-escalation is a critical component that lies at the center of antimicrobial stewardship programs. It is a clinically effective concept in reducing infection with drug resistant isolates. Although there is significant and serious shortfalls like establishment of the real impact of de-escalation on antimicrobial resistance development; it is now well demonstrated that there is no harm for patients, whether it genuinely improve clinical outcomes. Further studies are needed to establish the most effective tools to implement de-escalation, particularly in terms of providing clear guidelines to clinicians to enable them to be confident in applying this maneuver in our country. It is interesting that this concept of de-escalation is now being explored in different types of infection.

Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 140-142

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Published

2020-12-14

How to Cite

Saha, R., & Uddin, B. M. M. (2020). Reduction of Antimicrobial Resistance and Limiting Use of Antibiotics by the Application of De-escalation and Streamlining: A Review Update. Journal of National Institute of Neurosciences Bangladesh, 6(2), 140–142. https://doi.org/10.3329/jninb.v6i2.50782

Issue

Section

Review Articles