Coronavirus Disease 2019 and Antibiotic Stewardship-Antibiotic Usage in Adult Patients: Is It Necessary? When Should It be Concerned?
Balkan Med J
; 38(3): 150-155, 2021 May.
Article
in English
| MEDLINE | ID: covidwho-1268391
ABSTRACT
Antibiotic consumption rates were quite high in number, although the bacterial coinfection rates were low in coronavirus disease 2019 pneumonia. Generally, empirical antibiotic treatment is not recommended for uncomplicated coronavirus disease 2019 mild to moderate pneumonia cases. On the other hand, antibiotic treatment and de-escalation are recommended for intubated intensive care unit patients or critical patients with sepsis, septic shock, or acute respiratory distress syndrome. The presentation of patients with severe coronavirus disease 2019 pneumonia can direct the clinicians to use antibiotics. We believe that wait and watch strategy can be preferred in such cases without sepsis, secondary bacterial infection findings, or procalcitonin < 0.5 ng/ mL. We think that a new wave of resistance will occur inevitably if we cannot perform the antibiotic stewardship properly.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Patient Selection
/
Antimicrobial Stewardship
/
COVID-19
/
COVID-19 Drug Treatment
/
Anti-Bacterial Agents
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Balkan Med J
Year:
2021
Document Type:
Article
Affiliation country:
Balkanmedj.2021.20197
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