Conservative initiation of antimicrobial treatment in ICU patients with suspected ICU-Acquired infection: More haste less speed

Tjasa Hranjec, Robert G. Sawyer

Research output: Contribution to journalReview article

8 Scopus citations

Abstract

PURPOSE OF REVIEW: To review the recent literature supporting the idea that in some patients suspected of having a new ICU-Acquired infection, antibiotics can be withheld until evidence to confirm diagnosis is obtained. RECENT FINDINGS: Recent publications demonstrate that in community-Acquired pneumonia, severe sepsis presenting to the emergency room, and suspected ICU-Acquired infection, the time to antibiotic therapy does not necessarily seem to be a key determinant of outcome. SUMMARY: In the ICU, patients without septic shock but suspected of having an ICU-Acquired infection may be able to have antibiotics withheld until infection is confirmed using a combination of laboratory, radiologic, and microbiological data.

Original languageEnglish (US)
Pages (from-to)461-464
Number of pages4
JournalCurrent opinion in critical care
Volume19
Issue number5
DOIs
StatePublished - Oct 1 2013

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Keywords

  • Antibiotic delay
  • Empiric antibiotic therapy
  • ICU-Acquired infection
  • Sepsis

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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