To explore the integration of antimicrobial stewardship principles into daily ICU practice through the ESICM fellowship experience, emphasizing specific activities undertaken.
Approach:
Key Findings:
Effective antimicrobial stewardship is a multidisciplinary effort observed during the fellowship.
Individualized therapy based on patient-specific pharmacokinetics and pharmacodynamics was emphasized in the fellowship.
Diagnostic stewardship was a key focus, enhancing timely and appropriate antimicrobial decisions as observed in the fellowship.
Interpretation:
Limitations:
The experience was brief and may not fully represent long-term implementation challenges, as noted during the fellowship.
Findings may not be generalizable across all healthcare systems, particularly in different ICU settings.
Conclusion:
The fellowship provided insights into the integration of antimicrobial stewardship principles in critical care, focusing on collaboration and individualized patient care as observed during the program.
Older age, male sex, underweight status, reduced activities of daily living, and mild consciousness disturbance were associated with postextubation pneumonia in elective surgical patients.